| NPI | 1740310838 |
|---|---|
| Professional Name | VIRGINIA DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-021775) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IL 019-021775) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-04-23 |