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Contact Information

ROBERT DOMINGUEZ, DDS
750 N. CAPITOL AVE
C-8
SAN JOSE, CA95133
 Phone: 408-926-2221
 Fax: 408-926-8725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ROBERT DOMINGUEZ · (Male)

NPI Number 1154339125
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 25510
  • Other 77166 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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