Otto Raul Alonzo Dominguez
ActiveCalifornia license 50719
License
- Licensed by
- Dental Board of California
- License number
- 50719
- Status
- Active (Current)
- First issued
- October 8, 2003
- Expires
- September 30, 2028
- License holder
- Otto Raul Alonzo Dominguez
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
145 Shaw Ave
Ste B1
Clovis, CA 93612
Ste B1
Clovis, CA 93612
Fresno County