Provider Demographics
NPI:1245426956
Name:ESQUIVEL, ADALBERTO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADALBERTO
Middle Name:
Last Name:ESQUIVEL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N BRYAN RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4348
Mailing Address - Country:US
Mailing Address - Phone:956-585-1629
Mailing Address - Fax:956-585-1611
Practice Address - Street 1:1501 N BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4348
Practice Address - Country:US
Practice Address - Phone:956-585-1629
Practice Address - Fax:956-585-1611
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice