Jose D Dominguez DDS PA

NPI #1811310980 in Pembroke Pines, Florida

Provider Information

NPI Number: 1811310980
Entity Type: Organization
Organization Name: Jose D Dominguez DDS PA
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2014
Last Updated: Jan 27, 2014

Practice Location

Address: 3 SW 129TH AVE
Address 2: SUITE 210
City: Pembroke Pines
State: Florida
ZIP Code: 33027-1775
Phone: (954) 450-6447

Authorized Official

Name: DR. JOSE DUMERGUE DOMINGUEZ, DDS
Title: OWNER
Phone: (954) 450-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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