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Dominador Manguera Mendoza JR., MD
Specialist in Danbury, North Carolina
NPI 1558450510

Dominador Manguera Mendoza JR. is a Specialist based in Danbury, NC. Dominador Manguera Mendoza JR. practices in Danbury, NC and has the professional credentials of MD. The NPI Number for Dominador Manguera Mendoza JR. is 1558450510 and holds a License No. 22149 (North Carolina).

The current practice location address for Dominador Manguera Mendoza JR. is 1578 Hwy 8 & 89, Danbury, NC and can be reached out via phone at 336-539-8375 and via fax at 336-593-8800.

Location: 1578 Hwy 8 & 89, Danbury, NC, 27016-0111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558450510
Provider Name
Dominador Manguera Mendoza JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1578 Hwy 8 & 89, Danbury, NC, 27016-0111
Phone Number
336-539-8375
Fax Number
336-593-8800
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8958615 05 NC
institution
Provider Business Practice Location Address Details
Address
1578 Hwy 8 & 89
City
Danbury
State
North Carolina
Zip
27016-0111
Phone Number
336-539-8375
Fax Number
336-593-8800
person
Provider Business Mailing Address Details
Address
1578 Hwy 8 & 89
City
Danbury
State
North Carolina
Zip
27016-0111
Phone Number
336-539-8375
Fax Number
336-593-8800
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22149 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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