Individual
DR. PAUL HENRY DOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E MICHIGAN AVE, MARSHALL, MI 49068-1543
(269) 781-5563
Mailing address
213 BUENA VISTA AVE, ANN ARBOR, MI 48103-4301
(269) 274-4299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13436
MI
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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