SearchColorado1223P0700X

Elijah Fonseca, DENTAL TECHNICIAN

NPI 1730888215 · on the registry since 2023 · sole proprietor

Practice

Address
2521 N Tejon St Rear Alley
Colorado Springs, CO 80907
Phone
(719) 308-9009

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado