Healthcare Provider Details

I. General information

NPI: 1932484888
Provider Name (Legal Business Name): FRANCISCO ESPANOL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANCISCO ESPANOL DMD

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8429 BOCA GLADES BLVD E
BOCA RATON FL
33434-4059
US

IV. Provider business mailing address

8429 BOCA GLADES BLVD E
BOCA RATON FL
33434-4059
US

V. Phone/Fax

Practice location:
  • Phone: 954-501-5761
  • Fax:
Mailing address:
  • Phone: 954-501-5761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN19185
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: