DR. Michael George Dominov, DDS
NPI #1619074267 in Lee, Massachusetts
Provider Information
- NPI Number
- 1619074267
- Entity Type
- Individual
- Name
- DR. Michael George Dominov, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17 FRANKLIN ST
- City
- Lee
- State
- Massachusetts
- ZIP Code
- 01238-1629
- Phone
- (413) 243-0098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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