Individual
DR. ELLIOTT JAY DOMBROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
175 JERICHO TPKE, SUITE 307A, SYOSSET, NY 11791-4532
(516) 921-4141
(516) 921-4148
Mailing address
175 JERICHO TPKE, SUITE 307A, SYOSSET, NY 11791-4532
(516) 921-4141
(516) 921-4148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029628
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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