Provider Demographics
NPI:1639513906
Name:ROSARIO, LOVE JOY ESTEBAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOVE JOY
Middle Name:ESTEBAN
Last Name:ROSARIO
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 1:1298 WHITAKER AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6707
Mailing Address - Country:US
Mailing Address - Phone:619-421-1060
Mailing Address - Fax:
Practice Address - Street 1:1132 E PLAZA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3559
Practice Address - Country:US
Practice Address - Phone:619-336-1536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALN 44074122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist