Organization
CORPUS CHRISTI GENERAL & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL ELIZONDO DDS (OWNER)
(361) 857-5494
Entity
Organization
Contact information
Practice address
3420 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1720
(361) 857-5494
(361) 852-1984
Mailing address
3420 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1720
(361) 857-5494
(361) 852-1984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16184
TX
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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