Individual provider · Type 1 NPI

Thais Barbosa Dominguez, GENERAL DENTIST

General Practice Dentistry · Los Angeles, CA

NPI number 1760277115 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Call (310) 206-3904 Map

Mailing address

3170 Sawtelle Blvd Apt 101
Los Angeles, CA 90066-1451

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X112197 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X112197 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1760277115

Thais Barbosa Dominguez, GENERAL DENTIST's National Provider Identifier is 1760277115, issued on Apr 14, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 25, 2025.