Dr. IVELISSE DOMINGUEZ DMD
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1386098655- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 24 CALLE SANTIAGO PALMER SUR, GUAYAMA, PR, 00784
- Phone
- (787) 678-7806
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist, General Practice
Primary License: PR #4440604