Dr Otto Raul Alonzo Dominguez, DDS - Dentist in Clovis, CA

Dr Otto Raul Alonzo Dominguez, DDS is a Dentist - General Practice based in Clovis, California. Dr Otto Raul Alonzo Dominguez is licensed to practice in California (license number 50719) and his current practice location is 145 Shaw Ave, Suite B1-b2, Clovis, California. He can be reached at his office (for appointments etc.) via phone at (559) 325-2175.

NPI number for Dr Otto Raul Alonzo Dominguez is 1164636270 and his current mailing address is 145 Shaw Ave, Suite B1-b2, Clovis, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164636270.

Contact Information

Dr Otto Raul Alonzo Dominguez, DDS
145 Shaw Ave, Suite B1-b2,
Clovis, CA 93612-3841
(559) 325-2175
(559) 325-2175



Healthcare Provider's Profile

Full NameDr Otto Raul Alonzo Dominguez
GenderMale
SpecialityDentist - General Practice
Location145 Shaw Ave, Clovis, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164636270
  • Provider Enumeration Date: 05/09/2007
  • Last Update Date: 03/21/2017

Medical Identifiers

Medical identifiers for Dr Otto Raul Alonzo Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164636270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 50719 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Otto Raul Alonzo Dominguez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Otto Raul Alonzo Dominguez, DDS
145 Shaw Ave, Suite B1-b2,
Clovis, CA 93612-3841

Ph: (559) 325-2175
Dr Otto Raul Alonzo Dominguez, DDS
145 Shaw Ave, Suite B1-b2,
Clovis, CA 93612-3841

Ph: (559) 325-2175

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Dentist in Clovis, CA

Dr. Brent David Powell, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5656 E Lebanon Ave, Clovis, CA 93619
Phone: 216-543-5178    
Lovik Mirzaeian, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 334 Shaw Ave, Suite 138, Clovis, CA 93612
Phone: 559-299-2168    
Dr. Vatche Sarkis Wassilian, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1504 Shaw Ave, Clovis, CA 93611
Phone: 559-801-1825    
Pingting Zhou, DDS, MPH
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1095 Herndon Ave Ste 102, Clovis, CA 93612
Phone: 559-472-7148    
Dr. Efema Pamela Eguaibor -nwajei, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Shaw Ave, 2nd Flr, Clovis, CA 93612
Phone: 559-323-1776    
Dr. Jeffrey George Hibbard, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 334 Shaw Ave, Suite 103, Clovis, CA 93612
Phone: 559-298-0222    
Dr. Darren Dion Bogle, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 290 Shaw Ave Ste C, Clovis, CA 93612
Phone: 559-298-3024    Fax: 559-298-3026

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