Jose Elizalde Suayan
Jose Elizalde Suayan is a General Practice Dentistry in Grover Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1800 E Grand Ave Ste GGrover Beach, CA 93433-5220
Phone: (805) 489-1810
Fax: (805) 489-1850
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 43735 (CA) |
|---|
Record details
| NPI number | 1134381049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2008 |
| Last updated in NPPES | December 17, 2009 |
| Mailing address | 1800 E Grand Ave Ste G, Grover Beach, CA 93433-5220 |
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