Michael G. Dominov, DDS PC

NPI #1982803078 in Lee, Massachusetts

Provider Information

NPI Number: 1982803078
Entity Type: Organization
Organization Name: Michael G. Dominov, DDS PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 17 FRANKLIN ST
City: Lee
State: Massachusetts
ZIP Code: 01238-1629
Phone: (413) 243-0098

Authorized Official

Name: DR. MICHAEL GEORGE DOMINOV, DDS
Title: PRESIDENT
Phone: (413) 243-0098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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