Individual
DR. ALFONSO OTTO DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8 W. SWAIN RD., STOCKTON, CA 95207
(209) 474-8888
(209) 474-3040
Mailing address
8626 CAREY CT., STOCKTON, CA 95212
(209) 931-2824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40349
CA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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