Individual
DR. DENNIS OLIVER DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 N MOLLISON AVE, SUITE 201, EL CAJON, CA 92021-6159
(619) 441-3550
(619) 579-2921
Mailing address
505 N MOLLISON AVE, SUITE 201, EL CAJON, CA 92021-6159
(619) 441-3550
(619) 579-2921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G43179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G43190
—
CA
Enumeration date
07/11/2006
Last updated
05/06/2015
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