Individual
MRS. MARLENE B DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
163 CITY ISLAND AVE, BRONX, NY 10464-1537
(718) 885-1688
(718) 885-9638
Mailing address
163 CITY ISLAND AVE, BRONX, NY 10464-1537
(718) 885-1688
(718) 885-9638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023586
NY
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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