Jorge Luis Dominguez DMD

NPI 1669676052 - Dentist - 1223G0001X

NPI Details
NPI 1669676052
Gender Male
Enumeration Date 06/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13155 SW 42ND ST
SUITE 101
MIAMI FL, 33175-3428, US
Phone (303) 222-8999
Fax (305) 222-8866
Business Location
2751 SW 142ND CT
MIAMI FL, 33175-6571, US
Phone (305) 229-1111
Fax (305) 222-8866
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN12485
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According to our database, Dr. Jorge Luis Dominguez DMD NPI is 1669676052, taxonomy code is 1223G0001X and license number is DN12485, license state is located at Florida. Jorge Luis Dominguez DMD physically located at 13155 Sw 42nd St, Miami FL, 33175-3428. NPI Number Jorge Luis Dominguez DMD has the Individual type.

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1669676052 NPI number is provided on an as is basis without warranty of any kind. 1669676052 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge Luis Dominguez DMD are for informational purposes only.