Provider Demographics
NPI:1235315722
Name:QUIBILAN, RONNIEVILLE ESPERANZATE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONNIEVILLE
Middle Name:ESPERANZATE
Last Name:QUIBILAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RON
Other - Middle Name:E
Other - Last Name:QUIBILAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:444 E EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1938
Mailing Address - Country:US
Mailing Address - Phone:408-737-8800
Mailing Address - Fax:408-737-8987
Practice Address - Street 1:444 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1938
Practice Address - Country:US
Practice Address - Phone:408-737-8800
Practice Address - Fax:408-737-8987
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40486122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist