NPI 1013373620

A. Dominguez DDS Professional Dental Corporation

Organisation General Practice Dentistry Chula Vista, CA

Practice location

Address: 290 Landis Ave STE A&b, Chula Vista, CA 91910-2636
Phone: (619) 691-0121

Authorised official

Name: Nicole Reid
Title: Business Manager
Phone: (619) 691-0121

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 50595 (CA)

Other Dentist providers in California →

Registry record

NPI: 1013373620
Entity type: Organization
NPI issued: 12 Jan 2016
Record last updated: 12 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.