Individual
DR. MERCEDES SIMONE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S.,P.A.
Contact information
Practice address
7200 STATE HIGHWAY 161, SUITE 215, IRVING, TX 75039-2804
(972) 556-2100
(972) 556-2112
Mailing address
7200 STATE HIGHWAY 161, SUITE 215, IRVING, TX 75039-2804
(972) 556-2100
(972) 556-2112
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20568
TX
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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