Individual
DR. DOMINIC DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
3001 GREEN BAY RD, USS OSBORNE, NORTH CHICAGO, IL 60064
(443) 631-4923
Mailing address
8370 ICE CRYSTAL DRIVE, A1, LAUREL, MD 20723-2061
(443) 631-4923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16006
MD
1223E0200X
Endodontics
Primary
DN1858721
MA
Other
Enumeration date
08/31/2016
Last updated
12/05/2021
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