Eduardo Jose Dominguez, SA-C
Eduardo Jose Dominguez, SA-C is a Surgical Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2018
Practice location Address checks out
12011 Lee Jackson Memorial HwyFairfax, VA 22033
Phone: (703) 349-1379
Fax: (214) 764-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 12-135 (WI) |
|---|
Record details
| NPI number | 1982195939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2018 |
| Last updated in NPPES | March 1, 2019 |
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