Individual provider · Type 1 NPI

Gina Michele Domm, DDS

Military Health Care Provider · Dayton, OH

NPI number 1346530144 Active

Practice location

4881 Sugar Maple Dr
Dayton, OH 45433-5529

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1346530144

Gina Michele Domm, DDS's National Provider Identifier is 1346530144, issued on Apr 13, 2011. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Dayton, OH. The record was last updated on Apr 11, 2018.