Individual
MR. EDGAR EDWARD ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7254 BLANCO RD, SUITE 207, SAN ANTONIO, TX 78216
(210) 341-7116
(210) 366-9479
Mailing address
7254 BLANCO RD, SUITE 207, SAN ANTONIO, TX 78216
(210) 341-7116
(210) 366-9479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14925
TX
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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