Organization
JOSE D DOMINGUEZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DUMERGUE DOMINGUEZ DDS (OWNER)
(954) 450-6447
Entity
Organization
Contact information
Practice address
3 SW 129TH AVE, SUITE 210, PEMBROKE PINES, FL 33027-1775
(954) 450-6447
(954) 450-6270
Mailing address
3 SW 129TH AVE, SUITE 210, PEMBROKE PINES, FL 33027-1775
(954) 450-6447
(954) 450-6270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13058
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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