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Contact Information

VIRGINIA DOMINGUEZ MATSUMOTO, DDS
3250 N ARLINGTON HEIGHTS RD STE 300
ARLINGTON HEIGHTS, IL60004-1563
 Phone: 847-506-4030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for VIRGINIA DOMINGUEZ MATSUMOTO · (Female)

NPI # 1740310838
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/07/2007
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019-021775
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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