MRS. Tara Dominguez

NPI #1326821901 in Santa Rita, Guam

Provider Information

NPI Number
1326821901
Entity Type
Individual
Name
MRS. Tara Dominguez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
Aug 16, 2023
Last Updated
Aug 16, 2023

Practice Location

Address
1780 MARINE CORP. DRIVE
State
Guam
ZIP Code
96915
Phone
(671) 339-3175

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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