Gwynneth Domecq

NPI 1659068096 · on the registry since 2023

Practice

Address: 3301 E 12th St
Oakland, CA 94601
Phone: (510) 269-9030
Organisation at this address: Payam Zarehbin
Arise High School
Brent C. Lin, Dds Inc
Westcoast Childrens Clinic
Westcoast Children'S Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 326

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-09-19

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 California