Portia Maristela Escobar, Dmd, Pdc in Vallejo - General Practice
Portia Maristela Escobar, Dmd, Pdc - NPI 1699890350
Portia Maristela Escobar, Dmd, Pdc is a General Practice in Vallejo, California. Portia Maristela Escobar, Dmd, Pdc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Portia Maristela Escobar, Dmd, Pdc is 1699890350. The last update date is 2012-04-30.
Portia Maristela Escobar, Dmd, Pdc's current location address is 3772 Sonoma Blvd, Vallejo, California. You can contact this provider via phone number 7075576680 and fax number 7075546688. The mailing address for Portia Maristela Escobar, Dmd, Pdc is 3772 Sonoma Blvd, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portia Maristela Escobar, Dmd, Pdc |
|---|---|
| Address | 3772 Sonoma Blvd, Vallejo, California |
| Phone Number | 7075576680 |
| Fax Number | 7075546688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Escobar Portia |
| Credentials | DMD |
| Telephone Number | 7075576680 |
NPI Number Detail
| NPI Number | 1699890350 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2012-04-30 |
Provider Mailing Address Detail
| Address | 3772 Sonoma Blvd |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892202 |
| Phone Number | 7075576680 |
| Fax Number | 7075546688 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 45854 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B45854-01 | CA | HEALTHY FAMILIES | |
| B45854-01 | CA | DENTI-CAL, MEDI-CAL |
Post Comment/ Review Below
What is the Portia Maristela Escobar, Dmd, Pdc's unique identification number?
The Portia Maristela Escobar, Dmd, Pdc has been assigned the NPI (National Provider Identifier) Number 1699890350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Portia Maristela Escobar, Dmd, Pdc?
The Portia Maristela Escobar, Dmd, Pdc is situated at 3772 Sonoma Blvd, in the city of Vallejo, state of CA, with the zip code 945892202.
What is Portia Maristela Escobar, Dmd, Pdc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Portia Maristela Escobar, Dmd, Pdc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699890350 to Portia Maristela Escobar, Dmd, Pdc?
The Centers for Medicare & Medicaid Services originally issued the 1699890350 to Portia Maristela Escobar, Dmd, Pdc on 2007-03-20.
When was the information regarding Portia Maristela Escobar, Dmd, Pdc most recently updated?
The details pertaining to the Portia Maristela Escobar, Dmd, Pdc, including its address, specialty, and other relevant information, were last refreshed on 2012-04-30.
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