Provider Demographics
NPI:1346427267
Name:ESLINGER, TERESA (RDHAP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:863 I ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-4310
Mailing Address - Country:US
Mailing Address - Phone:209-826-5992
Mailing Address - Fax:209-826-6268
Practice Address - Street 1:863 I ST
Practice Address - Street 2:SUITE B
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-4310
Practice Address - Country:US
Practice Address - Phone:209-826-5992
Practice Address - Fax:209-826-6268
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDHAP 5124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYO08234OtherDENTI CAL