Individual
ELESA BOCKENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3904 COLGATE AVE, DALLAS, TX 75225-5423
(214) 702-1451
Mailing address
3429 WESTMINSTER AVE, # 4, DALLAS, TX 75205-5601
(214) 702-1451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28382
TX
1223P0221X
Pediatric Dentistry
Primary
28382
TX
Other
Enumeration date
08/27/2012
Last updated
09/18/2018
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