Domboski, Michael Leo

Domboski, Michael Leo is an sole proprietor health care provider with primary practice located at 623 Main St , Olean NY 14760-1532. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Domboski, Michael Leo can be contacted via phone (716) 375-7300.

Contact Information

Primary practice address
623 Main St Olean NY 14760-1532
Phone: (716) 375-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 033853-1 New York

Profile Details

NPI number 1821322249
LBN Legal business name Domboski, Michael Leo
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2009
Last updated Oct 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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