Individual
DR. ANTHONY J DOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5353 MAIN ST, WILLIAMSVILLE, NY 14221-5337
(716) 634-4121
(716) 634-7857
Mailing address
5353 MAIN ST, WILLIAMSVILLE, NY 14221-5337
(716) 634-4121
(716) 634-7857
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
032290
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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