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Organization
ESPARZA DENTAL CORPORATION
Active
Organization
ESPARZA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR B ESPARZA DDS (PRESIDENT)
(909) 613-1300
Entity
Organization
Contact information
Practice address
5250 E PHILADELPHIA ST, STE O, CHINO, CA 91710-2483
(909) 613-1300
(909) 613-1302
Mailing address
5250 E PHILADELPHIA ST, STE O, CHINO, CA 91710-2483
(909) 613-1300
(909) 613-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
305R00000X
Preferred Provider Organization
41648
CA
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124382296
MEDICAL NPI
CA
Enumeration date
08/22/2016
Last updated
12/08/2022
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