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1053972257
DOMINIQUE LEVON DURHAM
TALLAHASSEE, FL
NPI
1053972257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN24185)
Enumeration Date
2019-06-27
Last Update Date
2023-08-07
Business Address
Dr. DOMINIQUE LEVON DURHAM DMD
2250 BLUFF OAK WAY APT 138
TALLAHASSEE, FL 32311-6163
Phone number: 526-653-0283
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Mailing Address
Dr. DOMINIQUE LEVON DURHAM DMD
2250 BLUFF OAK WAY APT 138
TALLAHASSEE, FL 32311-6163
Phone number:
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