NPI 1013373620 · live from the CMS NPI Registry
A. Dominguez DDS Professional Dental Corporation
Dentist, General Practice in Chula Vista, CA. National Provider Identifier 1013373620, active.
NPI record
| NPI | 1013373620 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 290 Landis Ave, Ste A&B, Chula Vista, CA 91910 |
| Practice phone | 619-691-0121 |
| Enumerated | January 12, 2016 |
| Last updated | January 12, 2016 |
| Authorized official | Nicole Reid, Business Manager |
| Other names | Ad Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 50595 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.