Individual
ELISA BUESO-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2515 PALMER HWY, TEXAS CITY, TX 77590-7077
(832) 692-1523
Mailing address
2515 PALMER HWY, TEXAS CITY, TX 77590-7077
(832) 692-1523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22923
TX
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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