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Dr. Otto Raul Alonzo Dominguez, DDS
General Practice Dentistry in Clovis, California
NPI 1164636270

Otto Raul Alonzo Dominguez is a General Practice Dentistry based in Clovis, CA and is specialized in General Practice. Otto Raul Alonzo Dominguez practices in Clovis, CA and has the professional credentials of DDS. The NPI Number for Otto Raul Alonzo Dominguez is 1164636270 and holds a License No. 50719 (California).

The current practice location address for Otto Raul Alonzo Dominguez is 145 Shaw Ave, Clovis, CA and can be reached out via phone at 559-325-2175 and via fax at 559-325-2175.

Location: 145 Shaw Ave, Clovis, CA, 93612-3841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164636270
Provider Name
Otto Raul Alonzo Dominguez
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
145 Shaw Ave, Clovis, CA, 93612-3841
Phone Number
559-325-2175
Fax Number
559-325-2175
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 Shaw Ave
City
Clovis
State
California
Zip
93612-3841
Phone Number
559-325-2175
Fax Number
559-325-2175
person
Provider Business Mailing Address Details
Address
145 Shaw Ave
City
Clovis
State
California
Zip
93612-3841
Phone Number
559-325-2175
Fax Number
559-325-2175
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
50719 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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