Elmer A. Villalon, Dmd, LLC

NPI #1023654241 in Pueblo, Colorado

Provider Information

NPI Number: 1023654241
Entity Type: Organization
Organization Name: Elmer A. Villalon, Dmd, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 22, 2019
Last Updated: Nov 22, 2019

Practice Location

Address: 1225 NORTH MAIN STREET
Address 2: #207
City: Pueblo
State: Colorado
ZIP Code: 81003
Phone: (719) 542-7844

Authorized Official

Name: DR. ELMER A. VILLALON, DMD
Title: OWNER
Phone: (719) 542-7844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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