Elizondo, David

Elizondo, David is an individual health care provider with primary practice located at 2707 W Trenton Rd , Edinburg TX 78539-3433. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Elizondo, David can be contacted via phone (956) 630-4899.

Contact Information

Primary practice address
2707 W Trenton Rd Edinburg TX 78539-3433
Phone: (956) 630-4899
Fax: (956) 630-6599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21368 Texas

Profile Details

NPI number 1962400259
LBN Legal business name Elizondo, David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 24th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962400259 NPPES
Texas MEDICAID 158093803

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