Provider Demographics
NPI:1417601105
Name:ESPINOZA, FRANCINE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:MARIE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7691 HAVEN AVE APT D
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1760
Mailing Address - Country:US
Mailing Address - Phone:840-999-2113
Mailing Address - Fax:
Practice Address - Street 1:16147 FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-3374
Practice Address - Country:US
Practice Address - Phone:909-251-4721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1072961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice