Individual
DR. DOMINIQUE GNATOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 RICHMOND ST, PHILADELPHIA, PA 19137-1928
(215) 533-2787
Mailing address
4250 RICHMOND ST, PHILADELPHIA, PA 19137-1928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045348
PA
390200000X
Student in an Organized Health Care Education/Training Program
13202
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
07/29/2025
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