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Organization
MAANGELA P DOMINGUEZ, DDS, A PROFESSIONAL CORPORATION
Active
Organization
MAANGELA P DOMINGUEZ, DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAANGELA PEREZ DOMINGUEZ D.D.S. (PRESIDENT)
(707) 647-1072
Entity
Organization
Contact information
Practice address
1808 SPRINGS RD, VALLEJO, CA 94591-5518
(707) 647-1072
Mailing address
5890 OLINDA RD, EL SOBRANTE, CA 94803-3544
(310) 748-0419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50902
CA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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