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
LAST UPDATED 2024-03-28 09:53:21 UTC
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