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Organization
OTTO R. ALONZO, D.D.S., INC.
Active
Organization
OTTO R. ALONZO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO RAUL ALONZO D.D.S. (PRESIDENT)
(559) 776-1829
Entity
Organization
Contact information
Practice address
145 SHAW AVE, SUITE B2, CLOVIS, CA 93612-3841
(559) 325-2175
(559) 325-2227
Mailing address
145 SHAW AVE, SUITE B2, CLOVIS, CA 93612-3841
(559) 325-2175
(559) 325-2227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50719
CA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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