Individual
RICHARD RALPH ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
5753 1ST AVE N, ST PETERSBURG, FL 33710-7913
(727) 381-1062
Mailing address
416 S PALOMA PL, TAMPA, FL 33609-3712
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN26166
FL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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