License holder summary

Stephanie Renee Dominguez, DA is a Dental Assistant licensed to practice in New Mexico. The address on file for Stephanie Renee Dominguez, DA is Albuquerque, NM, 87121. This licensed professional license is not current. The license was granted 08/19/2004 and expired on 06/30/2007.

New Mexico

Regulation & Licensing Department

Stephanie Renee Dominguez, DA
Dental Assistant
License number
DA2698
Date granted
08/19/2004
Date expires
06/30/2007
Class
Dental Assistant
Status
Revoked
Address
Albuquerque, NM, 87121
licensingnm.com
ID 4326719
LAST UPDATED 2024-03-28 09:53:21 UTC

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