Dustin Dedomenico, DMD MS

NPI 1902224975 · on the registry since 2014 · sole proprietor

Practice

Address: 11012 N Dale Mabry Hwy Ste 302
Tampa, FL 33618
Phone: (813) 961-1414
Organisation at this address: Alexander Sonkin Md Pa
Redefine Your Spine Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Also registered as: Dentist
Licence states on file: KY, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-24

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 Florida