Individual
DR. DOMINGO LARA ESPIRITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
180 DOW AVE, ISELIN, NJ 08830-1845
(732) 283-2242
Mailing address
180 DOW AVE, ISELIN, NJ 08830-1845
(732) 283-2242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00731315
—
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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