DOMINIQUE DIAZ

LOS ANGELES, CA
NPI1831596816
Former NameDOMINIQUE FRANCISCO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  25511)
Enumeration Date2014-11-19
Last Update Date2014-11-19
Business Address
-- DOMINIQUE DIAZ
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017-4006
Phone number: 213-201-1388
Mailing Address
-- DOMINIQUE DIAZ
748 1/2 MOUNTAIN VIEW AVE
MONROVIA, CA 91016
Phone number: 626-610-6654