Rodolfo (Rudy) J Estanque in Redlands - General Practice

Rodolfo (Rudy) J Estanque - NPI 1134334113

Rodolfo (Rudy) J Estanque is a General Practice in Redlands, California. Rodolfo (Rudy) J Estanque practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rodolfo (Rudy) J Estanque is 1134334113. The last update date is 2011-11-22.

Rodolfo (Rudy) J Estanque's current location address is 700 E Redlands Blvd Ste J, Redlands, California. You can contact this provider via phone number 9097981900 and fax number 9093079430. The mailing address for Rodolfo (Rudy) J Estanque is 700 E Redlands Blvd Ste J, Redlands, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodolfo (Rudy) J Estanque
Address 700 E Redlands Blvd Ste J, Redlands, California
Phone Number 9097981900
Fax Number 9093079430
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1134334113
Provider Enumeration Date 2007-05-11
Last Updated Date 2011-11-22

Provider Mailing Address Detail

Address 700 E Redlands Blvd Ste J
City Redlands
State California (CA)
Post Code 923736168
Phone Number 9097981900
Fax Number 9093079430

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 41722
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G92695 01 CA DENTICAL

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FAQs about Rodolfo (Rudy) J Estanque

What is the unique 10-digit identifier code issued to Rodolfo (Rudy) J Estanque by the Centers for Medicare & Medicaid Services?

The Rodolfo (Rudy) J Estanque has been assigned the NPI (National Provider Identifier) 1134334113 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Rodolfo (Rudy) J Estanque is physically located?

The Rodolfo (Rudy) J Estanque is situated at the following address: 700 E Redlands Blvd Ste J, Redlands, CA 923736168.

What is the area of specialization for Rodolfo (Rudy) J Estanque, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rodolfo (Rudy) J Estanque is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134334113 to Rodolfo (Rudy) J Estanque?

The Centers for Medicare & Medicaid Services assigned the 1134334113 to Rodolfo (Rudy) J Estanque on 2007-05-11.

As of what date was the information pertaining to Rodolfo (Rudy) J Estanque, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rodolfo (Rudy) J Estanque, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-22.

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