Provider Demographics
NPI:1851596621
Name:CAROLINA P ESGUERRA DDS INC
Entity Type:Organization
Organization Name:CAROLINA P ESGUERRA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:PASADILLA
Authorized Official - Last Name:ESGUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:707-649-1694
Mailing Address - Street 1:2001 SPRINGS RD STE A
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-5521
Mailing Address - Country:US
Mailing Address - Phone:707-649-1694
Mailing Address - Fax:707-649-9029
Practice Address - Street 1:2001 SPRINGS RD STE A
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-5521
Practice Address - Country:US
Practice Address - Phone:707-649-1694
Practice Address - Fax:707-649-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41721122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B41721 01Medicare UPIN