Healthcare Provider Details

I. General information

NPI: 1497685986
Provider Name (Legal Business Name): EMIL ESKANDER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4129 S MOONEY BLVD STE B
VISALIA CA
93277-9147
US

IV. Provider business mailing address

9305 ANGEL FALLS ST
BRISTOW VA
20136-6166
US

V. Phone/Fax

Practice location:
  • Phone: 559-732-1953
  • Fax:
Mailing address:
  • Phone: 703-342-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: