Provider Demographics
NPI:1538556683
Name:MARQUEZ, NEIL PATRICK ESGUERRA (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL PATRICK
Middle Name:ESGUERRA
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 E SHELLDRAKE CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-1230
Mailing Address - Country:US
Mailing Address - Phone:559-668-1254
Mailing Address - Fax:
Practice Address - Street 1:3636 N 1ST ST STE 152
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-6818
Practice Address - Country:US
Practice Address - Phone:559-229-4536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64415122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist