Provider Demographics
NPI:1285804237
Name:ESTRELLA, MARIA REGINA PADILLA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:MARIA REGINA
Middle Name:PADILLA
Last Name:ESTRELLA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:NINNA
Other - Middle Name:PADILLA
Other - Last Name:ESTRELLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:1011 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-1078
Mailing Address - Country:US
Mailing Address - Phone:734-763-7820
Mailing Address - Fax:734-615-7294
Practice Address - Street 1:1011 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:734-763-7820
Practice Address - Fax:734-615-7294
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010197331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice