| NPI | 1326301144 |
|---|---|
| Former Name | JESSICA A DOMBROSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414614) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19726) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-01-07 |