Ted B Domanski, DDS

NPI #1407924194 in N Palm Beach, Florida

Provider Information

NPI Number: 1407924194
Entity Type: Individual
Name: Ted B Domanski, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1212 US HIGHWAY 1
Address 2: OLD PORT COVE PLAZA
City: N Palm Beach
State: Florida
ZIP Code: 33408-3536
Phone: (561) 626-3474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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