KERUSSO POOLEY DOMINGUEZ

GREENSBORO, NC
NPI1841122462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  14826)
Enumeration Date2026-05-29
Last Update Date2026-06-29
Business Address
Dr. KERUSSO POOLEY DOMINGUEZ DDS
4215 W WENDOVER AVE
GREENSBORO, NC 27407-1921
Phone number: 336-569-8669
Mailing Address
Dr. KERUSSO POOLEY DOMINGUEZ DDS
4215 W WENDOVER AVE
GREENSBORO, NC 27407-1921
Phone number: 336-569-8669