Provider Demographics
NPI:1730484932
Name:PAUL M. ESTESO
Entity Type:Organization
Organization Name:PAUL M. ESTESO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESTESO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-407-8012
Mailing Address - Street 1:7044 LEBANON RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7458
Mailing Address - Country:US
Mailing Address - Phone:214-407-8012
Mailing Address - Fax:888-678-0687
Practice Address - Street 1:7044 LEBANON RD
Practice Address - Street 2:STE 101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7458
Practice Address - Country:US
Practice Address - Phone:214-407-8012
Practice Address - Fax:888-678-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty