Organization
JACK M. DORKHOM, DMD, PLLC
Active
Other names
Meadowgate Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACK M DORKHOM D.M.D. (MEMBER/OWNER)
(585) 586-8895
Entity
Organization
Contact information
Practice address
101 SULLYS TRL, BUILDING 10, SUITE 11, PITTSFORD, NY 14534-4552
(585) 586-8895
Mailing address
101 SULLYS TRL, BUILDING 10, SUITE 11, PITTSFORD, NY 14534-4552
(585) 586-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051194
NY
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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