Eduardo Dominguez, SA-C

NPI 1982195939 · on the registry since 2018 · sole proprietor

Practice

Address: 12011 Lee Jackson Memorial Hwy
Fairfax, VA 22033
Phone: (703) 349-1379
Fax: (214) 764-0880
Organisation at this address: Bnm, Inc.
Rk Dental Care
Clifton Care Llc
Dental Associates
Health Connect Ipa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: Surgical Assistant
246ZC0007X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-01

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 Virginia