Provider Demographics
NPI:1528276037
Name:ALJURE-ESTRADA, SANDRA JEANNETTE (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:JEANNETTE
Last Name:ALJURE-ESTRADA
Suffix:
Gender:F
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21533 VILLAGE LAKES SHOPPING CTR DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-5101
Mailing Address - Country:US
Mailing Address - Phone:813-949-7424
Mailing Address - Fax:813-949-7426
Practice Address - Street 1:21533 VILLAGE LAKES SHOPPING CTR DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-5101
Practice Address - Country:US
Practice Address - Phone:813-949-7424
Practice Address - Fax:813-949-7426
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN150911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice