Elsa Anzaldo
Dentist, General Practice in Tijuana, BAJA CALIFORNIA. Organization (NPI-2).
NPI number1124886908
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1124886908
- Entity type
- Organization (NPI-2)
- Legal business name
- Elsa Anzaldo
- Organization subpart
- No
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
Blv Agua Caliente 9150 L18Tijuana, BAJA CALIFORNIA 22015
Mexico
Phone 619-272-9021
Mailing address
591 Telegraph Canyon Rd Ste 318Chula Vista, CA 91910-6436
Phone 619-272-9021 · Fax 619-329-9663
Authorized official
Elsa Cecilia Anzaldo Felix
Dentist
6192729021
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