Jose Elizalde Suayan
NPI #1134381049 in Grover Beach, California
Provider Information
- NPI Number
- 1134381049
- Entity Type
- Individual
- Name
- Jose Elizalde Suayan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 1, 2008
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- 1800 E GRAND AVE STE G
- City
- Grover Beach
- State
- California
- ZIP Code
- 93433-5220
- Phone
- (805) 489-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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