A. Dominguez DDS Professional Dental Corporation
Dentist, General Practice in Chula Vista, CA. Organization (NPI-2).
NPI number1013373620
StatusActive
Last updated in NPPESJan 12, 2016
Details
- NPI
- 1013373620
- Entity type
- Organization (NPI-2)
- Legal business name
- A. Dominguez DDS Professional Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jan 12, 2016
- Last updated
- Jan 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50595 | CA | Yes |
Other names
- Ad Dental (Doing Business As)
Practice location
290 Landis AveSte A&B
Chula Vista, CA 91910-2636
Phone 619-691-0121
Mailing address
290 Landis AveSte A&B
Chula Vista, CA 91910-2636
Phone 619-691-0121
Authorized official
Nicole Reid
Business Manager
6196910121
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