Dominguez, Tara
Dominguez, Tara is an individual health care provider with primary practice located at 1780 Marine Corp. Drive , Santa Rita GU 96915. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dominguez, Tara can be contacted via phone (671) 339-3175.Contact Information
Primary practice address
1780 Marine Corp. Drive
Santa Rita GU 96915
Phone: (671) 339-3175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | D0084HY | Guam |
Profile Details
| NPI number | 1326821901 |
|---|---|
| LBN Legal business name | Dominguez, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2023 |
| Last updated | Aug 16th, 2023 - about 2 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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