CHARLES E DOMINGUEZ

LAKE FOREST, CA
NPI1063437507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT 12292 TPA)
Enumeration Date2006-07-13
Last Update Date2014-10-15
Business Address
-- CHARLES E DOMINGUEZ O.D.
21098 BAKE PKWY SUITE 110
LAKE FOREST, CA 92630-2163
Phone number: 949-597-0104
Mailing Address
-- CHARLES E DOMINGUEZ O.D.
21098 BAKE PKWY SUITE 110
LAKE FOREST, CA 92630-2163
Phone number: 949-597-0104
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