Provider Demographics
NPI:1912629841
Name:ESCOBAR, CATALINA MARIANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:MARIANA
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 RONDO DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6043
Mailing Address - Country:US
Mailing Address - Phone:910-333-7005
Mailing Address - Fax:
Practice Address - Street 1:1407 RONDO DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6043
Practice Address - Country:US
Practice Address - Phone:910-333-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist