Dr. Dominic DO, MS, DDS
Dr. Dominic DO, MS, DDS is a Dentist in North Chicago, Illinois. Practices as a sole proprietor. Licensed in Massachusetts and Maryland.
- Licensed in
- MA, MD
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3001 Green Bay Rd Uss OsborneNorth Chicago, IL 60064
Phone: (443) 631-4923
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Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence DN1858721 (MA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 16006 (MD) |
Record details
| NPI number | 1144776923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , DDS |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | December 5, 2021 |
| Certification date | December 5, 2021 |
| Mailing address | 8370 Ice Crystal Drive, A1, Laurel, MD 20723-2061 |
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