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Individual

DR. BUENA DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD,MS

Contact information

Practice address
4291 STATE ST, SAGINAW, MI 48603-4051
(989) 793-7241
(989) 793-0254
Mailing address
4291 STATE ST, SAGINAW, MI 48603-4051
(989) 793-7241
(989) 793-0254

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015286
MI

Other

Enumeration date
03/01/2006
Last updated
07/08/2007
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