| A. Dominguez Dds Professional Dental Corporation | |
|
290 Landis Ave Ste A&b Chula Vista CA 91910-2636 | |
| (619) 691-0121 | |
| Not Available |
| Full Name | A. Dominguez Dds Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 290 Landis Ave, Chula Vista, California |
| Authorized Official Name and Position | Nicole Reid (BUSINESS MANAGER) |
| Authorized Official Contact | 6196910121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Dominguez Dds Professional Dental Corporation 290 Landis Ave Ste A&b Chula Vista CA 91910-2636 Ph: (619) 691-0121 | A. Dominguez Dds Professional Dental Corporation 290 Landis Ave Ste A&b Chula Vista CA 91910-2636 Ph: (619) 691-0121 |
| NPI Number | 1013373620 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013373620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50595 (California) | Primary |
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