| Bernardino Octavio Elizondo, Dds, Pc | |
|
957 E Hidalgo Ave Suite B2 Raymondville TX 78580-4149 | |
| (956) 699-3999 | |
| (956) 699-3201 |
| Full Name | Bernardino Octavio Elizondo, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 957 E Hidalgo Ave, Raymondville, Texas |
| Authorized Official Name and Position | Bernardino Octavio Elizondo (OWNER/PRESIDENT) |
| Authorized Official Contact | 9563999929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernardino Octavio Elizondo, Dds, Pc 957 E Hidalgo Ave Suite B2 Raymondville TX 78580-4149 Ph: (956) 699-3999 | Bernardino Octavio Elizondo, Dds, Pc 957 E Hidalgo Ave Suite B2 Raymondville TX 78580-4149 Ph: (956) 699-3999 |
| NPI Number | 1831535871 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 05/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831535871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19338 (Texas) | Primary |
Raymondville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 S. Expressway 77, Raymondville, TX 78580 Phone: 956-689-2154 | |
Raymondville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 957 E Hidalgo Ave, Ste. # B2, Raymondville, TX 78580 Phone: 956-699-3999 Fax: 956-699-3901 | |
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