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Organization
EUGENE V ESPIRITU, DMD PROFESSIONAL DENTAL CORPORATION
Active
Organization
EUGENE V ESPIRITU, DMD PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE VELARDE ESPIRITU DMD (OWNER)
(650) 875-6808
Entity
Organization
Contact information
Practice address
1230 EL CAMINO REAL STE K, SAN BRUNO, CA 94066-1300
(650) 875-6808
(650) 875-3755
Mailing address
1230 EL CAMINO REAL STE K, SAN BRUNO, CA 94066-1300
(650) 875-6808
(650) 875-3755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143260
UNITED HEALTHCARE
CA
01
—
775195
UNITED CONCORDIA
CA
01
—
B33758-01
DELTA STATE GOVT PROGRAM
CA
Enumeration date
01/04/2012
Last updated
01/04/2012
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