Search › Idaho › 124Q00000X
Eduardo Dominguez Lino, RDH
NPI 1407638406 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2280 American Legion Blvd
Mountain Home, ID 83647 - Phone
- (208) 587-3988
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho