Individual
DR. ERNANI S DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33 BAY ST, MANCHESTER, NH 03104
(603) 624-1342
Mailing address
33 BAY ST, MANCHESTER, NH 03104
(603) 624-1342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3143
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30303367
—
NH
Enumeration date
08/21/2006
Last updated
07/08/2007
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