Organization · NPI-2

Healthy Smiles For Everyone Dental Hygiene Practice Of Marcia Espinoza

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Riverside, CA

NPI number1003168345
StatusActive
Last updated in NPPESOct 10, 2012

Details

NPI
1003168345
Entity type
Organization (NPI-2)
Legal business name
Healthy Smiles For Everyone Dental Hygiene Practice Of Marcia Espinoza
Organization subpart
No
Enumeration date
Oct 10, 2012
Last updated
Oct 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesHAP 428CAYes
302F00000X Exclusive Provider OrganizationHAP 428CA
302R00000X Health Maintenance OrganizationHAP 428CA
305R00000X Preferred Provider OrganizationHAP 428CA
305S00000X Point of ServiceHAP 428CA

Practice location

375 Central Ave
58
Riverside, CA 92507-6540

Phone 951-638-3896

Mailing address

375 Central Ave
58
Riverside, CA 92507-6540

Phone 951-638-3896

Authorized official

Marcia Espinoza
Dental Hygienist
9516383896

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Riverside, CA