A. Dominguez DDS Professional Dental Corporation
NPI #1013373620 in Chula Vista, California
Provider Information
- NPI Number
- 1013373620
- Entity Type
- Organization
- Organization Name
- A. Dominguez DDS Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Jan 12, 2016
Practice Location
- Address
- 290 LANDIS AVE
- Address 2
- STE A&B
- City
- Chula Vista
- State
- California
- ZIP Code
- 91910-2636
- Phone
- (619) 691-0121
Authorized Official
- Name
- NICOLE REID
- Title
- BUSINESS MANAGER
- Phone
- (619) 691-0121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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