Provider Demographics
NPI:1639383870
Name:ESPINOZA, SOFIA F (DDS)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:F
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 1:21 BRENNAN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4337
Mailing Address - Country:US
Mailing Address - Phone:831-722-2727
Mailing Address - Fax:831-722-2139
Practice Address - Street 1:21 BRENNAN ST STE 1
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4337
Practice Address - Country:US
Practice Address - Phone:831-722-2727
Practice Address - Fax:831-722-2139
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice