Individual
MR. MARK T DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
150 N PANTANO RD, SUITE 100, TUCSON, AZ 85710
(520) 290-8787
(520) 290-2278
Mailing address
150 N PANTANO RD, SUITE 100, TUCSON, AZ 85710
(520) 290-8787
(520) 290-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2865
AZ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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