Individual
DR. ELLIOTT BERMUDEZ-COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2940 STANLEY RD STE 2375, FORT SAM HOUSTON, TX 78234-2740
(210) 295-4595
Mailing address
8322 MOJAVE RD, SAN ANTONIO, TX 78254-2139
(210) 643-0070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2118
PR
1223P0300X
Periodontics
Primary
2118
PR
Other
Enumeration date
09/14/2006
Last updated
05/05/2023
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