Otto Raul Alonzo Domingue in Clovis - General Practice
Otto Raul Alonzo Domingue - NPI 1164636270
Otto Raul Alonzo Domingue is a General Practice in Clovis, California. Otto Raul Alonzo Domingue practices all healthcare services and medical treatments related to General Practice. The NPI Number for Otto Raul Alonzo Domingue is 1164636270. The last update date is 2017-03-21.
Otto Raul Alonzo Domingue's current location address is 145 Shaw Ave, Clovis, California. You can contact this provider via phone number 5593252175 and fax number 5593252175. The mailing address for Otto Raul Alonzo Domingue is 145 Shaw Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto Raul Alonzo Domingue |
|---|---|
| Address | 145 Shaw Ave, Clovis, California |
| Phone Number | 5593252175 |
| Fax Number | 5593252175 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164636270 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2017-03-21 |
Provider Mailing Address Detail
| Address | 145 Shaw Ave |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936123841 |
| Phone Number | 5593252175 |
| Fax Number | 5593252175 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 50719 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Otto Raul Alonzo Domingue by the Centers for Medicare & Medicaid Services?
The Otto Raul Alonzo Domingue has been assigned the NPI (National Provider Identifier) 1164636270. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Otto Raul Alonzo Domingue is physically located?
The Otto Raul Alonzo Domingue is situated at the following address: 145 Shaw Ave, Clovis, CA 936123841.
What is Otto Raul Alonzo Domingue's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Otto Raul Alonzo Domingue is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164636270 to Otto Raul Alonzo Domingue?
The Otto Raul Alonzo Domingue received its 1164636270 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date were the Otto Raul Alonzo Domingue's details last updated?
The information pertaining to the Otto Raul Alonzo Domingue, including its address, specialty, and other details, was most recently updated on 2017-03-21.
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