Organization
SAGINAW PERIODONTAL SPECIALIST,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BUENA L DOMINGUEZ D.M.D.,M.S. (OWNER)
(989) 793-7241
Entity
Organization
Contact information
Practice address
4291 STATE ST, SAGINAW, MI 48603-4051
(989) 793-7241
Mailing address
4291 STATE ST, SAGINAW, MI 48603-4051
(989) 793-7241
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015286
MI
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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