# HEALTHY SMILES FOR EVERYONE DENTAL HYGIENE PRACTICE OF MARCIA ESPINOZA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003168345
- **Authorized official:** MARCIA ESPINOZA RDHAP (DENTAL HYGIENIST)
- **Authorized official phone:** (951) 638-3896

## Contact information

- **Practice address:** 375 CENTRAL AVE, 58, RIVERSIDE, CA 92507-6540
- **Practice address phone:** (951) 638-3896
- **Mailing address:** 375 CENTRAL AVE, 58, RIVERSIDE, CA 92507-6540
- **Mailing address phone:** (951) 638-3896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | HAP 428 | CA | — |
| 302R00000X | Health Maintenance Organization | HAP 428 | CA | — |
| 305R00000X | Preferred Provider Organization | HAP 428 | CA | — |
| 305S00000X | Point of Service | HAP 428 | CA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | HAP 428 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 10/10/2012