Individual
DR. DOMINIC A EMANUELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
69 OLD TEMPLE HILL RD, VAILS GATE, NY 12584
(845) 562-2063
(845) 562-4194
Mailing address
PO BOX 539, 69 OLD TEMPLE HILL RD, VAILS GATE, NY 12584-0539
(845) 562-2063
(845) 562-4194
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042760
NY
Other
Enumeration date
11/01/2006
Last updated
12/04/2009
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