| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558417360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39956 (California) | Primary |