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Dr. Robert Dominguez, DDS
General Practice Physician in San Jose, California
NPI 1154339125

Robert Dominguez is a General Practice Physician based in San Jose, CA. Robert Dominguez practices in San Jose, CA and has the professional credentials of DDS. The NPI Number for Robert Dominguez is 1154339125 and holds a License No. 25510 (California).

The current practice location address for Robert Dominguez is 750 N. Capitol Ave, San Jose, CA and can be reached out via phone at 408-926-2221 and via fax at 408-926-8725.

Location: 750 N. Capitol Ave, San Jose, CA, 95133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154339125
Provider Name
Robert Dominguez
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
750 N. Capitol Ave, San Jose, CA, 95133
Phone Number
408-926-2221
Fax Number
408-926-8725
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77166 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
750 N. Capitol Ave
City
San Jose
State
California
Zip
95133
Phone Number
408-926-2221
Fax Number
408-926-8725
person
Provider Business Mailing Address Details
Address
750 N. Capitol Ave
City
San Jose
State
California
Zip
95133
Phone Number
408-926-2221
Fax Number
408-926-8725
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
25510 (California)
Definition
Definition to come...
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