Individual
DOMINICK ALEXANDER MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
892 W BEVERLY BLVD, MONTEBELLO, CA 90640-4213
(323) 313-1070
Mailing address
5619 E JOAQUIN CT, COMMERCE, CA 90040-1541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS109866
CA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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