Corpus Christi General & Implant Dentistry
NPI #1811013584 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1811013584
- Entity Type
- Organization
- Organization Name
- Corpus Christi General & Implant Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3420 S ALAMEDA ST
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78411-1720
- Phone
- (361) 857-5494
Authorized Official
- Name
- DR. JOHN MICHAEL ELIZONDO, DDS
- Title
- OWNER
- Phone
- (361) 857-5494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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