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Jose Elizalde Suayan
General Practice Dentistry in Grover Beach, California
NPI 1134381049

Jose Elizalde Suayan is a General Practice Dentistry based in Grover Beach, CA and is specialized in General Practice. Jose Elizalde Suayan practices in Grover Beach, CA. The NPI Number for Jose Elizalde Suayan is 1134381049 and holds a License No. 43735 (California).

The current practice location address for Jose Elizalde Suayan is 1800 E Grand Ave Ste G, Grover Beach, CA and can be reached out via phone at 805-489-1810 and via fax at 805-489-1850.

Location: 1800 E Grand Ave Ste G, Grover Beach, CA, 93433-5220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134381049
Provider Name
Jose Elizalde Suayan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1800 E Grand Ave Ste G, Grover Beach, CA, 93433-5220
Phone Number
805-489-1810
Fax Number
805-489-1850
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 E Grand Ave Ste G
City
Grover Beach
State
California
Zip
93433-5220
Phone Number
805-489-1810
Fax Number
805-489-1850
person
Provider Business Mailing Address Details
Address
1800 E Grand Ave Ste G
City
Grover Beach
State
California
Zip
93433-5220
Phone Number
805-489-1810
Fax Number
805-489-1850
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
43735 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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