Canales, Ellysse

Canales, Ellysse is an sole proprietor health care provider with primary practice located at 323 Nw 24Th St , San Antonio TX 78207-3209. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Canales, Ellysse can be contacted via phone (210) 436-6261.

Contact Information

Primary practice address
323 Nw 24Th St San Antonio TX 78207-3209
Phone: (210) 436-6261
Fax: (210) 436-7126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25653 Texas
Dental Providers / General Practice 1223G0001X 25653 Texas

Profile Details

NPI number 1750695144
LBN Legal business name Canales, Ellysse
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2010
Last updated Jan 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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