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Elmer A. Villalon, Dmd, Llc
Dental Clinic/Center in Pueblo, Colorado
NPI 1023654241

Elmer A. Villalon, Dmd, Llc is a Dental Clinic/Center based in Pueblo, CO and is specialized in Dental. Elmer A. Villalon, Dmd, Llc practices in Pueblo, CO. The NPI Number for Elmer A. Villalon, Dmd, Llc is 1023654241 and holds a License No. (Colorado).

The current practice location address for Elmer A. Villalon, Dmd, Llc is 1225 North Main Street, Pueblo, CO and can be reached out via phone at 719-542-7844 and via fax at 719-542-7870.

Location: 1225 North Main Street, Pueblo, CO, 81003-2857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023654241
Provider Name
Elmer A. Villalon, Dmd, Llc
Credential
Provider Entity Type
Organization
Address
1225 North Main Street, Pueblo, CO, 81003-2857
Phone Number
719-542-7844
Fax Number
719-542-7870
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02059525 05 CO
institution
Provider Business Practice Location Address Details
Address
1225 North Main Street
City
Pueblo
State
Colorado
Zip
81003
Phone Number
719-542-7844
Fax Number
719-542-7870
person
Provider Business Mailing Address Details
Address
1225 North Main Street
City
Pueblo
State
Colorado
Zip
81003
Phone Number
719-542-7844
Fax Number
719-542-7870
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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