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David D. Domenella, DDS

General Dentistry · Richmond, IL

UnclaimedDDSNPI 1427217918
Primary taxonomy
122300000X
Enumerated
2008-06-09
Practice location
Richmond, IL
Last NPPES update
2012-10-11

State licenses

  • IL · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.