Individual provider · Type 1 NPI
Samantha Rae Didomenico, DDS
General Practice Dentistry · Las Animas, CO
NPI number
1891241527
Active
Practice location
245 Vine Ave
Las Animas, CO 81054
Mailing address
1119 W 11th St
La Junta, CO 81050-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 202930 (CO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3 other providers at this address
About NPI 1891241527
Samantha Rae Didomenico, DDS's National Provider Identifier is 1891241527, issued on Sep 1, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Las Animas, CO. The record was last updated on Jun 5, 2018.