Individual
DR. INGRID DOOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1749 S KINGS AVE, BRANDON, FL 33511-6220
(813) 661-1115
(813) 661-7771
Mailing address
1749 S KINGS AVE, BRANDON, FL 33511-6220
(813) 661-1115
(813) 661-7771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0774961-00
—
FL
Enumeration date
12/22/2006
Last updated
11/09/2011
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