Individual
CRISTINA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
737 BROADWAY, ROUTE 1, SAUGUS, MA 01906-3207
(781) 231-2100
(781) 233-4674
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21612
MA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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