Individual
DR. JACK MICHAEL DORKHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 SULLY'S TRL, BUILDING 10, PITTSFORD, NY 14534
(585) 586-8895
(585) 485-0817
Mailing address
69A MONROE AVE, PITTSFORD, NY 14534-1321
(585) 586-2580
(585) 586-4924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051194
NY
Other
Enumeration date
05/17/2007
Last updated
03/28/2024
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