Individual provider · Type 1 NPI
Marjorie Domingo, DDS
Pediatric Dentistry · Garden Valley, CA
NPI number
1033401708
Active
Practice location
7220 Darling Cabin Rd
Garden Valley, CA 95633-9745
Mailing address
7220 Darling Cabin Road
Garden Valley, CA 95633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 43595 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1033401708
Marjorie Domingo, DDS's National Provider Identifier is 1033401708, issued on May 12, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Garden Valley, CA. The record was last updated on May 12, 2011.