| Dominguez Family Dental, Csp | |
|
Calle Santiago Palmer 24 Sur N/a Guayama PR 00784 | |
| (787) 866-3631 | |
| (787) 866-8690 |
| Full Name | Dominguez Family Dental, Csp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Calle Santiago Palmer 24 Sur, Guayama, Puerto Rico |
| Authorized Official Name and Position | Ivelisse Dominguez Reveron (PRESIDENT) |
| Authorized Official Contact | 7876787806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominguez Family Dental, Csp Po Box 623 Guayama PR 00785-0623 Ph: (787) 866-3631 | Dominguez Family Dental, Csp Calle Santiago Palmer 24 Sur N/a Guayama PR 00784 Ph: (787) 866-3631 |
| NPI Number | 1023713740 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023713740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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