Individual
DR. JEFFREY S. DOMBROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.D
Contact information
Practice address
1813 GOLDEN TRAIL COURT, SUITE 100, CARROLLTON, TX 75010
(972) 395-7630
(972) 395-7625
Mailing address
1813 GOLDEN TRAIL COURT, SUITE 100, CARROLLTON,, TX 75010
(972) 395-7630
(972) 395-7625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28274
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28274
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7425
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02074250
—
CO
Enumeration date
01/23/2006
Last updated
01/06/2015
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