Estavillo Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

47966 Issued in CA

Legal business name

ESTAVILLO DENTAL CORPORATION

Doing business as

Tri-Valley Dental Care

Practice address

39885 Alta Murrieta Dr
Suite D-4
Murrieta, CA 92563-5438

Phone

(951) 304-7560

Fax

(951) 696-7780

NPI assigned

Jun 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ngoc-Oanh Ngo Estavillo, D.D.S.NPI 1063638195

Title

Owner

Phone

(951) 304-7560

Specialties & licenses 1

Addresses

Other names 1

• Tri-Valley Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngoc-Oanh Ngo Estavillo, D.D.S.

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1063638195
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316140213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39885 ALTA MURRIETA DR",
            "address_2": "SUITE D-4",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635438",
            "telephone_number": "951-304-7560",
            "fax_number": "951-696-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39885 ALTA MURRIETA DR",
            "address_2": "SUITE D-4",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635438",
            "telephone_number": "951-304-7560",
            "fax_number": "951-696-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTAVILLO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTAVILLO",
        "authorized_official_first_name": "NGOC-OANH",
        "authorized_official_middle_name": "NGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-304-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hananeel Espinoza
• Orlando Espinoza
• Yocelyn Espinoza
• Jenny Esposito, D.C
• Essence Integrative and Psychiatric Health Services
• Ngoc-Oanh Ngo Estavillo, D.D.S.
• Amanda Estrada
• Maria Estrada
• Veronica Nicole Estrada
• Rhoda Galinato Estrella-Itchon, M.D.

• Dentist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.