Individual
JENNIFER MIRANDA DOMAGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338-1899
(509) 585-5437
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1349
AK
122300000X
Dentist
Primary
DE60689948
WA
Other
Enumeration date
08/24/2010
Last updated
05/01/2026
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