Individual
ALEXIS BARROR DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3802 EHRLICH RD STE 208, TAMPA, FL 33624-2331
(813) 968-2099
(813) 963-5471
Mailing address
3802 EHRLICH RD STE 208, TAMPA, FL 33624-2331
(813) 968-2099
(813) 963-5471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18704
FL
Other
Enumeration date
06/10/2009
Last updated
03/02/2020
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