JAMES MARK DOMIN

GRAND RAPIDS, MI
NPI1891880654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  2901016850)
Enumeration Date2006-10-04
Last Update Date2007-07-09
Business Address
-- JAMES MARK DOMIN D.D.S.
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-4785
Phone number: 616-735-2870
Mailing Address
-- JAMES MARK DOMIN D.D.S.
847 PARCHMENT DR SE SUITE 125
GRAND RAPIDS, MI 49546-2303
Phone number: 616-735-2870
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