Individual
CASSUNDRA MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 S VAN GORDON ST UNIT 436, LAKEWOOD, CO 80228-1760
(951) 347-9002
Mailing address
66 S VAN GORDON ST UNIT 436, LAKEWOOD, CO 80228-1760
(951) 347-9002
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002026902
CO
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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