Provider Demographics
NPI:1699957621
Name:VOSS, ESTHER
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:VOSS
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 1:2408 CORONET BLVD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1625
Mailing Address - Country:US
Mailing Address - Phone:800-719-6107
Mailing Address - Fax:800-719-6107
Practice Address - Street 1:2408 CORONET BLVD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1625
Practice Address - Country:US
Practice Address - Phone:800-719-6107
Practice Address - Fax:800-719-6107
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist