Individual
DR. JEFFREY R DORNBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 HUMPHREY ST, MARBLEHEAD, MA 01945-1665
(781) 639-0700
Mailing address
210 HUMPHREY ST, MARBLEHEAD, MA 01945-1665
(781) 639-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13302
MA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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