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Contact Information

DR. ESPINOSA DDS TOOTH OR GUM, LLC
784 SOUTH MAIN ST
HARTFORD, WI53027
 Phone: 262-673-2288
 Fax: 262-673-6244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for DR. ESPINOSA DDS TOOTH OR GUM, LLC

NPI # 1700390242
LBN Legal business name DR. ESPINOSA DDS TOOTH OR GUM, LLC
Authorized official ERNESTO ESPINOSA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2017
Last updated 11/20/2017 - About 9 years ago
Identifiers
WI License # 1001150
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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