Individual
MICHELLE ESPEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A.
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
Mailing address
168 D ST # B, CHULA VISTA, CA 91910-1942
(619) 201-4123
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
73392
CA
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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