Provider Demographics
NPI:1740613066
Name:CADET, SOPHIA ESPERANZA (DDS)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ESPERANZA
Last Name:CADET
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 1:25967 REDLANDS BLVD
Mailing Address - Street 2:APT D
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8480
Mailing Address - Country:US
Mailing Address - Phone:561-201-3513
Mailing Address - Fax:
Practice Address - Street 1:1629 S RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-7707
Practice Address - Country:US
Practice Address - Phone:909-421-2225
Practice Address - Fax:909-421-2099
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA624221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice