Individual
ANA I DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14252 SW 8TH ST, MIAMI, FL 33184-3100
(305) 553-5980
Mailing address
14252 SW 8TH ST, MIAMI, FL 33184-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25886
FL
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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