Gary Lane Elsberry DDS

NPI 1073602538 - Dentist - 122300000X

NPI Details
NPI 1073602538
Gender Male
Enumeration Date 10/12/2006
Last Updated 02/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
134 W MAIN ST STE 34
TRINIDAD CO, 81082-2600, US
Phone (719) 846-3371
Fax (719) 846-3372
Business Location
134 W MAIN ST STE 34
TRINIDAD CO, 81082-2600, US
Phone (719) 846-3371
Fax (719) 846-3372
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number HDL06163
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According to our database, Gary Lane Elsberry DDS NPI is 1073602538, taxonomy code is 122300000X and license number is HDL06163, license state is located at Colorado. Gary Lane Elsberry DDS physically located at 134 W Main St Ste 34, Trinidad CO, 81082-2600. NPI Number Gary Lane Elsberry DDS has the Individual type.

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1073602538 NPI number is provided on an as is basis without warranty of any kind. 1073602538 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Lane Elsberry DDS are for informational purposes only.