NPI 1326821901
Tara Dominguez
Practice location
- Address
- 1780 Marine Corp. Drive, Santa Rita, GU 96915
- Phone
- (671) 339-3175
- Mailing address
- Psc 455 Box 171, Fpo, AP 96540-0002
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1326821901
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Aug 2023
- Record last updated
- 16 Aug 2023
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.