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1164636270
OTTO RAUL ALONZO DOMINGUEZ
CLOVIS, CA
NPI
1164636270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 50719)
Enumeration Date
2007-05-09
Last Update Date
2017-03-21
Business Address
Dr. OTTO RAUL ALONZO DOMINGUEZ D.D.S.
145 SHAW AVE SUITE B1-B2
CLOVIS, CA 93612-3841
Phone number: 559-325-2175
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Mailing Address
Dr. OTTO RAUL ALONZO DOMINGUEZ D.D.S.
145 SHAW AVE SUITE B1-B2
CLOVIS, CA 93612-3841
Phone number: 559-325-2175
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