Provider Demographics
NPI:1760659817
Name:DUMULO, ESPIRANZA DULNUAN (DDS)
Entity Type:Individual
Prefix:MISS
First Name:ESPIRANZA
Middle Name:DULNUAN
Last Name:DUMULO
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 1:1480 S HARBOR BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631
Mailing Address - Country:US
Mailing Address - Phone:714-680-4521
Mailing Address - Fax:714-680-4823
Practice Address - Street 1:480 S HARBOR BLVD SUITE 7
Practice Address - Street 2:LAS PALMAS MEDICAL CENTER
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631
Practice Address - Country:US
Practice Address - Phone:714-680-4521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56441122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist