Dominquez, Amber Brianna
Dominquez, Amber Brianna is an individual health care provider with primary practice located at 100 Old Cherokee Rd Ste F , Lexington SC 29072-7959. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dominquez, Amber Brianna can be contacted via phone (803) 808-2950.Contact Information
Primary practice address
100 Old Cherokee Rd Ste F
Lexington SC 29072-7959
Phone: (803) 808-2950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 3709 | South Carolina |
Profile Details
| NPI number | 1346471281 |
|---|---|
| LBN Legal business name | Dominquez, Amber Brianna |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Jul 27th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346471281 | NPPES |
| South Carolina | MEDICAID | ZA9670 SC | |
| South Carolina | MEDICAID | 187113 |
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