Individual
DR. DOMINIQUE LEVON DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2613 S MONROE ST, TALLAHASSEE, FL 32301-6308
(036) 685-0759
Mailing address
2613 S MONROE ST, TALLAHASSEE, FL 32301-6308
(850) 759-0366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24185
FL
1223G0001X
General Practice Dentistry
Primary
DN24185
FL
Other
Enumeration date
06/27/2019
Last updated
09/26/2025
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