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
ZIP Code
00784
Phone
(787) 678-7806

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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