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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