Individual
DR. JOHN EDWARD DONLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
843 W GLEN, PEORIA, IL 61614
(309) 691-9421
(309) 691-1390
Mailing address
843 W. GLEN, PEORIA, IL 61614
(309) 691-9421
(309) 691-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023386
IL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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