Individual
DEREK R. ESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1036-42 DUNN AVE, JACKSONVILLE, FL 32218-6359
(904) 714-9909
(904) 714-9963
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19453
FL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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