Individual
DR. DANIEL JOHN DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 BEAULLIEU DR. BLDG #2, LAFAYETTE, LA 70508
(337) 235-1523
(337) 235-0699
Mailing address
200 BEAULLIEU DR. BLDG #2, LAFAYETTE, LA 70508
(337) 235-1523
(337) 235-0699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053985
NY
122300000X
Dentist
5893
LA
Other
Enumeration date
07/22/2008
Last updated
01/23/2013
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