Individual
DR. JUAN BAUTISTA ESPAILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
286 N MAIN ST STE 101, SPRING VALLEY, NY 10977-3749
(845) 426-1619
(845) 371-2694
Mailing address
286 N MAIN ST STE 101, SPRING VALLEY, NY 10977-3749
(845) 426-1619
(845) 371-2694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02411952
—
NY
Enumeration date
10/27/2005
Last updated
07/18/2013
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