Individual
DR. DAMIEN DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
156 HARTFORD AVE UNIT D, HOPEDALE, MA 01747-1554
(508) 422-0009
Mailing address
20 CARL RD, WALPOLE, MA 02081-1106
(617) 366-6791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
049521
NY
1223G0001X
General Practice Dentistry
Primary
21813
MA
Other
Enumeration date
02/16/2007
Last updated
01/06/2019
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