| Maangela P Dominguez, Dds, A Professional Corporation | |
|
1808 Springs Rd Vallejo CA 94591-5518 | |
| (707) 647-1072 | |
| Not Available |
| Full Name | Maangela P Dominguez, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1808 Springs Rd, Vallejo, California |
| Authorized Official Name and Position | Maangela Perez Dominguez (PRESIDENT) |
| Authorized Official Contact | 7076471072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maangela P Dominguez, Dds, A Professional Corporation 5890 Olinda Rd El Sobrante CA 94803-3544 Ph: (310) 748-0419 | Maangela P Dominguez, Dds, A Professional Corporation 1808 Springs Rd Vallejo CA 94591-5518 Ph: (707) 647-1072 |
| NPI Number | 1982964953 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982964953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50902 (California) | Primary |
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