Individual
EMANUEL DOMINGUEZ-HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4963 W 6TH AVE, HIALEAH, FL 33012-3803
(305) 558-1171
Mailing address
650 SW 88TH CT, MIAMI, FL 33174-2466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN32202
FL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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