institution
Michael G. Dominov, Dds Pc
Dental Clinic/Center in Lee, Massachusetts
NPI 1982803078

Michael G. Dominov, Dds Pc is a Dental Clinic/Center based in Lee, MA and is specialized in Dental. Michael G. Dominov, Dds Pc practices in Lee, MA. The NPI Number for Michael G. Dominov, Dds Pc is 1982803078 and holds a License No. 16758 (Massachusetts).

The current practice location address for Michael G. Dominov, Dds Pc is 17 Franklin St, Lee, MA and can be reached out via phone at 413-243-0098 and via fax at 413-243-2663.

Location: 17 Franklin St, Lee, MA, 01238-1629
institution
Provider Profile Details
NPI Number
1982803078
Provider Name
Michael G. Dominov, Dds Pc
Credential
Provider Entity Type
Organization
Address
17 Franklin St, Lee, MA, 01238-1629
Phone Number
413-243-0098
Fax Number
413-243-2663
Provider Enumeration Date
07/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Franklin St
City
Lee
State
Zip
01238-1629
Phone Number
413-243-0098
Fax Number
413-243-2663
person
Provider Business Mailing Address Details
Address
17 Franklin St
City
Lee
State
Zip
01238-1629
Phone Number
413-243-0098
Fax Number
413-243-2663
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
16758 (Massachusetts)
Definition
Definition to come...
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