Individual
ANA BEATRIZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
290 LANDIS AVE, SUITE A & B, CHULA VISTA, CA 91910-2636
(619) 691-0121
(619) 691-0841
Mailing address
290 LANDIS AVE, SUITE A & B, CHULA VISTA, CA 91910-2636
(619) 691-0121
(619) 691-0841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50595
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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