ETHAN MICHAEL ELIZONDO

SEATTLE, WA
NPI1679288104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-01-19
Last Update Date2023-01-19
Business Address
ETHAN MICHAEL ELIZONDO DDS
4915 25TH AVE NE
SEATTLE, WA 98105-5667
Phone number: 206-524-1600
Mailing Address
ETHAN MICHAEL ELIZONDO DDS
223 CIRCLE DR
CORPUS CHRISTI, TX 78411-1232
Phone number: 361-960-3687
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