Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8258 | CO |
NPI | 1043218985 |
---|---|
Provider Name | Daniel Edward Esposito |
First Address | Littleton, CO 80123-3091 |
Second Address | Littleton, CO 80123-3091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 20/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22781 | (02) | CO |