Individual
DR. DENNIS N. DOMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12613 TAYLORSVILLE RD, SUITE 117, LOUISVILLE, KY 40299-4452
(502) 266-5355
Mailing address
9529 NORTON COMMONS BLVD, PROSPECT, KY 40059-7521
(502) 425-1565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8069
KY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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