| NPI | 1023654241 |
|---|---|
| Doing Business As | ELMER A. VILLALON, DMD |
| Entity Type | Organization |
| Authorized Contact | ELMER A. VILLALON Owner 719-542-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |