Individual
DR. KATELYN MICHELLE DOMINGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
59 E MILL RD STE 2-2304, LONG VALLEY, NJ 07853-6215
(908) 876-5225
(908) 876-1062
Mailing address
59 E MILL RD STE 2-2304, LONG VALLEY, NJ 07853-6215
(908) 876-5225
(908) 876-1062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02672401
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
04/26/2016
Last updated
07/21/2022
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