DR. Ivelisse Dominguez, DMD
NPI #1386098655 in Guayama, Puerto Rico
Provider Information
- NPI Number
- 1386098655
- Entity Type
- Individual
- Name
- DR. Ivelisse Dominguez, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 22, 2016
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 24 CALLE SANTIAGO PALMER SUR
- City
- Guayama
- State
- Puerto Rico
- ZIP Code
- 00784
- Phone
- (787) 678-7806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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