Organization
BERNARDINO OCTAVIO ELIZONDO, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDINO OCTAVIO ELIZONDO DDS (OWNER/PRESIDENT)
(956) 399-9929
Entity
Organization
Contact information
Practice address
957 E HIDALGO AVE, SUITE B2, RAYMONDVILLE, TX 78580-4149
(956) 699-3999
(956) 699-3201
Mailing address
957 E HIDALGO AVE, SUITE B2, RAYMONDVILLE, TX 78580-4149
(956) 699-3999
(956) 699-3201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19338
TX
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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