Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 28429 | TX |
Y | 1223P0700X | Prosthodontist | DE60584579 | WA |
NPI | 1013307982 |
---|---|
Provider Name | Dr. Carolina Cespedes |
First Address | Dallas, TX 75243-8078 |
Second Address | Bellevue, WA 98004-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2015 |
Last Update Date | 20/02/2019 |