Individual
DR. MARITZA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
B-3 CORNWALL DR., EAST BRUNSWICK, NJ 08816
(732) 257-2301
(732) 257-9385
Mailing address
B-3 CORNWALL DR., EAST BRUNSWICK, NJ 08816
(732) 257-2301
(732) 257-9385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16557
NJ
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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