Organization
MERCEDES S DOMINGUEZ, DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERCEDES S DOMINGUEZ DDS, MS (PRESIDENT)
(972) 556-2100
Entity
Organization
Contact information
Practice address
7200 N HIGHWAY 161, SUITE 215, IRVING, TX 75039-4132
(972) 556-2100
(972) 556-2112
Mailing address
7200 N HIGHWAY 161, SUITE 215, IRVING, TX 75039-4132
(972) 556-2100
(972) 556-2112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20568
TX
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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