Dominguez Lino, Eduardo

Dominguez Lino, Eduardo is an sole proprietor health care provider with primary practice located at 2280 American Legion Blvd , Mountain Home ID 83647-3142. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Dominguez Lino, Eduardo can be contacted via phone (208) 587-3988.

Contact Information

Primary practice address
2280 American Legion Blvd Mountain Home ID 83647-3142
Phone: (208) 587-3988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH-3683 Idaho

Profile Details

NPI number 1407638406
LBN Legal business name Dominguez Lino, Eduardo
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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