ELIJAH FONSECA

COLORADO SPRINGS, CO
NPI1730888215
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist Prosthodontics
(Licence: CO  R00782832)
Enumeration Date2023-02-23
Last Update Date2023-02-23
Business Address
MR. ELIJAH FONSECA DENTAL TECHNICIAN
2521 N TEJON ST REAR ALLEY
COLORADO SPRINGS, CO 80907-6836
Phone number: 719-308-9009
Mailing Address
MR. ELIJAH FONSECA DENTAL TECHNICIAN
2521 N TEJON ST REAR ALLEY
COLORADO SPRINGS, CO 80907-6836
Phone number: 719-308-9009
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