Charles E Dominguez, O.D.

NPI #1063437507 in Lake Forest, California

Provider Information

NPI Number: 1063437507
Entity Type: Individual
Name: Charles E Dominguez, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 13, 2006
Last Updated: Oct 15, 2014

Practice Location

Address: 21098 BAKE PKWY
Address 2: SUITE 110
City: Lake Forest
State: California
ZIP Code: 92630-2163
Phone: (949) 597-0104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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