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Contact Information

ROBERTO V ESPEJO JR DDS A PROFESSIONAL DENTAL CORPORATION
222 E ACACIA STREET
STOCKTON, CA95202
 Phone: 209-466-0191
 Fax: 209-466-3565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ROBERTO V ESPEJO JR DDS A PROFESSIONAL DENTAL CORPORATION

NPI Number 1144356064
LBN Legal business name ROBERTO V ESPEJO JR DDS A PROFESSIONAL DENTAL CORPORATION
Authorized official ROBERTO ESPEJO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 37820
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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