Provider Demographics
NPI:1891987772
Name:ESTRADA, FRANCINE CAMILA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:CAMILA
Last Name:ESTRADA
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 1:821 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-6323
Mailing Address - Country:US
Mailing Address - Phone:718-383-1160
Mailing Address - Fax:212-996-0030
Practice Address - Street 1:821 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-6323
Practice Address - Country:US
Practice Address - Phone:718-383-1160
Practice Address - Fax:212-996-0030
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0536591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice