Individual
DR. ERNEST JOEL ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 GASTON AVE, 6TH FLOOR, DALLAS, TX 75226
(214) 828-8228
(214) 828-8382
Mailing address
3302 GASTON AVE STE 161, DALLAS, TX 75246-2013
(214) 828-8170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37763
TX
Other
Enumeration date
07/02/2021
Last updated
08/24/2021
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