# BERNARDINO OCTAVIO ELIZONDO, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831535871
- **Authorized official:** DR. BERNARDINO OCTAVIO ELIZONDO DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (956) 399-9929

## Contact information

- **Practice address:** 957 E HIDALGO AVE, SUITE B2, RAYMONDVILLE, TX 78580-4149
- **Practice address phone:** (956) 699-3999
- **Practice address fax:** (956) 699-3201
- **Mailing address:** 957 E HIDALGO AVE, SUITE B2, RAYMONDVILLE, TX 78580-4149
- **Mailing address phone:** (956) 699-3999
- **Mailing address fax:** (956) 699-3201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19338 | TX | Yes |

## Other

- **Enumeration date:** 05/17/2013
- **Last updated:** 05/17/2013