Individual
DR. ENIF A DOMINGUEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-6080
(859) 323-5858
Mailing address
800 ROSE ST # D-508, LEXINGTON, KY 40536-0297
(859) 323-6080
(859) 323-5858
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8911
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
8911
KY
Other
Enumeration date
09/09/2010
Last updated
01/07/2015
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