Individual
DR. MARLEN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6050 KENNEDY BLVD E, SUITE LF, WEST NEW YORK, NJ 07093-3901
(201) 453-2300
(201) 453-2233
Mailing address
6050 KENNEDY BLVD E, SUITE LF, WEST NEW YORK, NJ 07093-3901
(201) 453-2300
(201) 453-2233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01957900
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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