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Individual

DR. DOMINIQUE IVETTE BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
51 GERMANTOWN CT STE 103, CORDOVA, TN 38018-4270
(800) 983-9741
Mailing address
51 GERMANTOWN CT STE 103, CORDOVA, TN 38018-4270

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3587
TN
152W00000X
Optometrist
6526
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3587
TENNESSEE BOARD OF OPTOMETRY
TN
Enumeration date
06/28/2016
Last updated
08/12/2022
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