Organization
ANTONIO ESSAPOUR, D.M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO ESSAPOUR D.M.D. (PRESIDENT)
(209) 668-1080
Entity
Organization
Contact information
Practice address
875 E CANAL DR STE 11, TURLOCK, CA 95380-4542
(209) 668-1080
Mailing address
875 E CANAL DR STE 11, TURLOCK, CA 95380-4542
(209) 668-1080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44870
CA
Other
Enumeration date
12/30/2006
Last updated
08/22/2020
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