Dominic Gusman

NPI 1114744042 · on the registry since 2024

Practice

Address: 4350 E Ray Rd
Phoenix, AZ 85044
Phone: (602) 666-5101
Organisation at this address: Lumara Pllc
Eca Investments, Llc
Vasco Healthcare Inc
Team Kids Dental Pllc
Dennis K Streich Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona