Individual
DR. JASON DORMINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9727 ELK GROVE FLORIN RD STE 180, ELK GROVE, CA 95624-2267
(916) 686-6900
(916) 686-2069
Mailing address
9727 ELK GROVE FLORIN RD STE 180, ELK GROVE, CA 95624-2267
(916) 686-6900
(916) 686-2069
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51863
CA
Other
Enumeration date
10/16/2006
Last updated
03/25/2025
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