Organization
DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION
Active
Other names
Dennis O. Dominguez, MD, A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUANA VAZQUEZ (OFFICE MANAGER)
(619) 441-3550
Entity
Organization
Contact information
Practice address
505 N. MOLLISON AVE, SUITE 201, EL CAJON, CA 92021
(619) 441-3550
(619) 579-2921
Mailing address
505 N. MOLLISON AVE, SUITE 201, EL CAJON, CA 92021
(619) 441-3550
(619) 579-2921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G43179
—
CA
Enumeration date
06/06/2007
Last updated
05/29/2015
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