| NPI | 1881105948 |
|---|---|
| Doing Business As | DOMINION DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | SRIKANTH CHERUKADU Owner 210-687-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27122) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |