Individual
DR. GINA MICHELE DOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(803) 895-6356
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/11/2018
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