Individual
LUZANNE DOMENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4381
Mailing address
17-2 CALLE GRANADA, GUAYNABO, PR 00966-3117
(787) 641-7582
(787) 641-4381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2178
PR
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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