Organization · Type 2 NPI
Michael G. Dominov, DDS PC
Dental Clinic/Center · Lee, MA
NPI number
1982803078
Active
Practice location
17 Franklin St
Lee, MA 01238-1629
Fax (413) 243-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 16758 (MA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1982803078
Michael G. Dominov, DDS PC's National Provider Identifier is 1982803078, issued on Jul 17, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lee, MA. The record was last updated on Jul 17, 2007.