Individual
DR. MICHAEL LEO DOMBOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 375-7300
Mailing address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 375-7300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
033853-1
NY
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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