Organization
ESPARZA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR B ESPARZA D.D.S. (DENTIST)
(909) 984-3418
Entity
Organization
Contact information
Practice address
213 W G ST, ONTARIO, CA 91762-3227
(909) 986-6180
(909) 986-6179
Mailing address
213 W G ST, ONTARIO, CA 91762-3227
(909) 986-6180
(909) 986-6179
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
45252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124382296
MEDICAL NPI
CA
01
—
1912452723
MEDICAL NPI
CA
Enumeration date
08/22/2016
Last updated
08/22/2016
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