Provider Demographics
NPI:1558572859
Name:ESPEJO, ROBERTO V JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:V
Last Name:ESPEJO
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 1:3278 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3129
Mailing Address - Country:US
Mailing Address - Phone:408-937-8333
Mailing Address - Fax:408-923-4457
Practice Address - Street 1:990 BAY ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2681
Practice Address - Country:US
Practice Address - Phone:659-698-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA378201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice