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1336631084
CASEY DOMINGUEZ
ROGERS, AR
NPI
1336631084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 4269)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
Dr. CASEY DOMINGUEZ DDS
3920 W WALNUT ST
ROGERS, AR 72756-1809
Phone number: 885-993-5543
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Mailing Address
Dr. CASEY DOMINGUEZ DDS
6515 W PLEASANT WAY
ROGERS, AR 72758-8427
Phone number: 972-415-9308
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