Provider Demographics
NPI:1942402185
Name:ESPINOSA, CELIA ISABEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:ISABEL
Last Name: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 1:11160 S.W. 88TH STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-631-2939
Mailing Address - Fax:786-431-5269
Practice Address - Street 1:11160 S.W. 88TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-631-2939
Practice Address - Fax:786-431-5269
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-196361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice