Dominguez-Matsumoto, Virginia

Dominguez-Matsumoto, Virginia is an sole proprietor health care provider with primary practice located at 3250 N Arlington Heights Rd Ste 300 , Arlington Heights IL 60004-1563. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Dominguez-Matsumoto, Virginia can be contacted via phone (847) 506-4030.

Contact Information

Primary practice address
3250 N Arlington Heights Rd Ste 300 Arlington Heights IL 60004-1563
Phone: (847) 506-4030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 019-021775 Illinois
Dental Providers / Dentist 122300000X 019-021775 Illinois

Profile Details

NPI number 1740310838
LBN Legal business name Dominguez-Matsumoto, Virginia
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Apr 23rd, 2021 - about 4 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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