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Contact Information

DOMINIQUE AYALA, DMD
110 CANAL ST
LEWISTON, ME04240-7710
 Phone: 207-784-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DOMINIQUE AYALA · (Female)

NPI Number 1942042346
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/07/2024
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 5120
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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