Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Otto Raul Alonzo Dominguez, DDS

Individual provider General Practice Dentistry · NPI 1164636270

Dr. Otto Raul Alonzo Dominguez, DDS is a General Practice Dentistry in Clovis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

145 Shaw Ave Ste B1-B2
Clovis, CA 93612-3841
Phone: (559) 325-2175
Fax: (559) 325-2175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 50719 (CA)

Record details

NPI number1164636270
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESMarch 21, 2017

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