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Mr. Elijah Fonseca, DENTALTECHNICIAN
Prosthodontist in Colorado Springs, Colorado
NPI 1730888215

Elijah Fonseca is a Prosthodontist based in Colorado Springs, CO and is specialized in Prosthodontics. Elijah Fonseca practices in Colorado Springs, CO and has the professional credentials of DENTALTECHNICIAN. The NPI Number for Elijah Fonseca is 1730888215 and holds a License No. R00782832 (Colorado).

The current practice location address for Elijah Fonseca is 2521 N Tejon St Rear Alley, Colorado Springs, CO and can be reached out via phone at 719-308-9009.

Location: 2521 N Tejon St Rear Alley, Colorado Springs, CO, 80907-6836
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Provider Profile Details
NPI Number
1730888215
Provider Name
Elijah Fonseca
Credential
DENTALTECHNICIAN
Provider Entity Type
Individual
Gender
Male
Address
2521 N Tejon St Rear Alley, Colorado Springs, CO, 80907-6836
Phone Number
719-308-9009
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2521 N Tejon St Rear Alley
City
State
Zip
80907-6836
Phone Number
719-308-9009
Fax Number
person
Provider Business Mailing Address Details
Address
2521 N Tejon St Rear Alley
City
State
Zip
80907-6836
Phone Number
719-308-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
License No.
R00782832 (Colorado)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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