DR. Otto Raul Alonzo Dominguez, D.D.S.

NPI #1164636270 in Clovis, California

Provider Information

NPI Number
1164636270
Entity Type
Individual
Name
DR. Otto Raul Alonzo Dominguez, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 9, 2007
Last Updated
Mar 21, 2017

Practice Location

Address
145 SHAW AVE
Address 2
SUITE B1-B2
City
Clovis
ZIP Code
93612-3841
Phone
(559) 325-2175

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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