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1831596816
DOMINIQUE DIAZ
LOS ANGELES, CA
NPI
1831596816
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Former Name
DOMINIQUE FRANCISCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 25511)
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
-- DOMINIQUE DIAZ
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017-4006
Phone number: 213-201-1388
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Mailing Address
-- DOMINIQUE DIAZ
748 1/2 MOUNTAIN VIEW AVE
MONROVIA, CA 91016
Phone number: 626-610-6654
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