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Individual

DR. DEMETRIO LABSO DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1701 16TH ST NW, 217, WASHINGTON, DC 20009-3145
(202) 714-8727
Mailing address
1701 16TH ST NW, 217, WASHINGTON, DC 20009-3145
(301) 402-1706
(301) 480-4455

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
051929-1
NY
122300000X
Dentist
Primary
41827
CA
122300000X
Dentist
DEN1000553
DC

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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