Individual
CARLEMI J DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
470 LENOX AVE APT 1D, NEW YORK, NY 10037-3012
(212) 283-4800
Mailing address
225 E 118TH ST APT 707, NEW YORK, NY 10035-4384
(646) 696-6822
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030445-1
NY
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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