Individual
ESTEFANIA JUAREZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 4TH ST, SAN RAFAEL, CA 94901-5716
(415) 448-1500
Mailing address
PO BOX 5008, NOVATO, CA 94948-5008
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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