Organization
GLORIA EDEN G DOMINGO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA EDEN G DOMINGO MD (MD)
(808) 222-4111
Entity
Organization
Contact information
Practice address
94-333 WAIPAHU DEPOT ST # M6, WAIPAHU, HI 96797-3012
(808) 677-5664
(808) 784-0147
Mailing address
PO BOX 30460, HONOLULU, HI 96820-0460
(808) 941-3863
(808) 949-0483
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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