Provider Demographics
NPI:1528651122
Name:ESPINOZA, JULIET ELENA ALEXANDRIA
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:ELENA ALEXANDRIA
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43000 MIDWAY AVE.
Mailing Address - Street 2:BLDG. 595
Mailing Address - City:FPO
Mailing Address - State:AA
Mailing Address - Zip Code:92114
Mailing Address - Country:US
Mailing Address - Phone:720-266-0358
Mailing Address - Fax:
Practice Address - Street 1:43000 MIDWAY AVE.
Practice Address - Street 2:BLDG 595
Practice Address - City:FPO
Practice Address - State:AA
Practice Address - Zip Code:92114
Practice Address - Country:US
Practice Address - Phone:619-524-4006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist