Provider Demographics
NPI:1881211225
Name:DELGADO ESPINOSA, MILAIDY (DDS)
Entity Type:Individual
Prefix:
First Name:MILAIDY
Middle Name:
Last Name:DELGADO ESPINOSA
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 1:4963 PINE CONE LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4613
Mailing Address - Country:US
Mailing Address - Phone:561-723-3107
Mailing Address - Fax:
Practice Address - Street 1:4068 FOREST HILL BLVD STE 6
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5730
Practice Address - Country:US
Practice Address - Phone:561-966-6404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25098122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist