Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thais Barbosa Dominguez, GENERALDENTIST

Individual provider Dentist · NPI 1760277115

Dr. Thais Barbosa Dominguez, GENERALDENTIST is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone: (310) 206-3904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 112197 (CA)
Dentist Taxonomy 122300000X · Licence 112197 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1760277115
Entity typeIndividual (Type 1)
GenderFemale
Credentials GENERALDENTIST
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 22, 2025

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