Individual
ELSA ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
900 W ORMAN AVE, PUEBLO, CO 81004-1430
(719) 549-3286
(719) 549-3136
Mailing address
900 W ORMAN AVE, PUEBLO, CO 81004-1430
(719) 549-3286
(719) 549-3136
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000202004
CO
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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