NPI 1407638406

Eduardo Dominguez Lino, RDH

Practitioner Dental Hygienist Mountain Home, ID

Practice location

Address: 2280 American Legion Blvd, Mountain Home, ID 83647-3142
Phone: (208) 587-3988
Mailing address: 5510 West Targee Street, Boise, ID 83705

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-3683 (ID)

Other Dental Hygienist providers in Idaho →

Registry record

NPI: 1407638406
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2023
Record last updated: 16 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.