Nonato H. Elazegui Dds Dental Corp. | |
12384 Avenue 416 Suite Ab Orosi CA 93647-9463 | |
(559) 528-2244 | |
Not Available |
Full Name | Nonato H. Elazegui Dds Dental Corp. |
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Speciality | Dentist - General Practice |
Location | 12384 Avenue 416, Orosi, California |
Authorized Official Name and Position | Nonato Elazegui (PRESIDENT) |
Authorized Official Contact | 5585282244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nonato H. Elazegui Dds Dental Corp. 12384 Avenue 416 Suite Ab Orosi CA 93647-9463 Ph: (559) 528-2244 | Nonato H. Elazegui Dds Dental Corp. 12384 Avenue 416 Suite Ab Orosi CA 93647-9463 Ph: (559) 528-2244 |
NPI Number | 1558417360 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
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1558417360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 39956 (California) | Primary |