Samantha Rae Didomenico, D.D.S.
NPI #1891241527 in Las Animas, Colorado
Provider Information
- NPI Number
- 1891241527
- Entity Type
- Individual
- Name
- Samantha Rae Didomenico, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Jun 5, 2018
Practice Location
- Address
- 245 VINE AVE
- City
- Las Animas
- State
- Colorado
- ZIP Code
- 81054
- Phone
- (719) 456-2653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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