Individual
MRS. BRITTNEY ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 E BROADWAY AVE, JACKSON, WY 83001-8634
(307) 733-2555
Mailing address
PO BOX 1190, JACKSON, WY 83001-1190
(307) 733-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1374
WY
122300000X
Dentist
27965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1374
WY LICENSE
WY
01
—
27965
DDS
TX
Enumeration date
11/02/2012
Last updated
02/23/2015
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