SearchMassachusettsGeneral Practice Dentistry

Michael Dominov, DDS

NPI 1619074267 · on the registry since 2006 · sole proprietor

Practice

Address
17 Franklin St
Lee, MA 01238
Phone
(413) 243-0098
Fax
(413) 243-2663
Organisation at this address
Michael G. Dominov, Dds Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts