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Individual
DR. THAIS BARBOSA DOMINGUEZ
Active
Individual
DR. THAIS BARBOSA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GENERAL DENTIST
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
112197
CA
1223G0001X
General Practice Dentistry
Primary
112197
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/14/2025
Last updated
08/25/2025
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