| Blanca M. Esparza D.d.s. | |
|
213 W G Street Ontario CA 91762-3227 | |
| (909) 986-6180 | |
| (909) 984-9479 |
| Full Name | Blanca M. Esparza D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 213 W G Street, Ontario, California |
| Authorized Official Name and Position | Oscar B Esparza (PRESIDENT) |
| Authorized Official Contact | 9099866180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanca M. Esparza D.d.s. 213 W G Street Ontario CA 91762-3227 Ph: (909) 986-6180 | Blanca M. Esparza D.d.s. 213 W G Street Ontario CA 91762-3227 Ph: (909) 986-6180 |
| NPI Number | 1578827648 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578827648 | NPI | - | NPPES |
| D45252 | Medicaid | CA | |
| B41648-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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