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Organization
NONATO H. ELAZEGUI DDS DENTAL CORP.
Active
Organization
NONATO H. ELAZEGUI DDS DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NONATO ELAZEGUI DDS (PRESIDENT)
(558) 528-2244
Entity
Organization
Contact information
Practice address
12384 AVENUE 416, SUITE AB, OROSI, CA 93647-9463
(559) 528-2244
Mailing address
12384 AVENUE 416, SUITE AB, OROSI, CA 93647-9463
(559) 528-2244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39956
CA
Other
Enumeration date
01/25/2007
Last updated
12/16/2009
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