Individual
TANIA SANCHEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6037 BESSINGER ST, FORT SILL, OK 73503-4406
(580) 442-6106
Mailing address
3501 E GORE BLVD APT 218, LAWTON, OK 73501-6849
(845) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02653300
NJ
1223G0001X
General Practice Dentistry
DS040981
PA
Other
Enumeration date
07/19/2016
Last updated
03/03/2022
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