Dominguez, Robert

Dominguez, Robert is an individual health care provider with primary practice located at 750 N. Capitol Ave C-8, San Jose CA 95133. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Dominguez, Robert can be contacted via phone (408) 926-2221.

Contact Information

Primary practice address
750 N. Capitol Ave C-8 San Jose CA 95133
Phone: (408) 926-2221
Fax: (408) 926-8725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25510 California

Profile Details

NPI number 1154339125
LBN Legal business name Dominguez, Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154339125 NPPES
Other 77166 UNITED CONCORDIA

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