NPI 1043595903

Edward Espinoza, CD

Practitioner Denturist Portland, OR

Practice location

Address: 206 NE 80th Ave, Portland, OR 97213-7016
Phone: (503) 252-9699
Fax: (503) 252-9959

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 160 (OR)

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Registry record

NPI: 1043595903
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2011
Record last updated: 11 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.