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General NPI Number Information
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NPI Number | 1104983758
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Entity Type | Individual
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Provider Name | MARIA CRISTINA ESGUERRA MANIEGO DMD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 508 GIBSON DR STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95678-5794
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Country | US
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Telephone | 916-772-6777
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Fax | 916-789-0333
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Provider Business Mailing Address
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Address Line | 508 GIBSON DR STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95678-5794
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Country | US
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Telephone | 916-412-5468
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51616
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License Number State | CA
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