EDUARDO DOMINGUEZ LINO

MOUNTAIN HOME, ID
NPI1407638406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH-3683)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
EDUARDO DOMINGUEZ LINO RDH
2280 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3142
Phone number: 208-587-3988
Mailing Address
EDUARDO DOMINGUEZ LINO RDH
5510 WEST TARGEE STREET
BOISE, ID 83705
Phone number: 208-906-6708
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