Maria Camila Borrero Fonseca in Tracy - Pediatric Dentistry
Maria Camila Borrero Fonseca - NPI 1033245345
Maria Camila Borrero Fonseca is a Pediatric Dentistry in Tracy, California. Maria Camila Borrero Fonseca practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Maria Camila Borrero Fonseca is 1033245345. The last update date is 2019-01-22.
Maria Camila Borrero Fonseca's current location address is 569 W Lowell Ave Ste 200, Tracy, California. You can contact this provider via phone number 3104988167 and fax number 2098325885. The mailing address for Maria Camila Borrero Fonseca is 569 W Lowell Ave Ste 200, Tracy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Camila Borrero Fonseca |
|---|---|
| Address | 569 W Lowell Ave Ste 200, Tracy, California |
| Phone Number | 3104988167 |
| Fax Number | 2098325885 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1033245345 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 569 W Lowell Ave Ste 200 |
|---|---|
| City | Tracy |
| State | California (CA) |
| Post Code | 953763084 |
| Phone Number | 3104988167 |
| Fax Number | 2098325885 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 51046 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51046 | CA | DENTAL LICENSE |
Post Comment/ Review Below
What is the Maria Camila Borrero Fonseca's 1033245345?
The Maria Camila Borrero Fonseca's NPI (National Provider Identifier) Number is 1033245345. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maria Camila Borrero Fonseca?
The Maria Camila Borrero Fonseca is situated at 569 W Lowell Ave Ste 200, in the city of Tracy, state of CA, with the zip code 953763084.
What is Maria Camila Borrero Fonseca's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maria Camila Borrero Fonseca's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date was the 1033245345 assigned to Maria Camila Borrero Fonseca?
The Maria Camila Borrero Fonseca was issued its 1033245345 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Maria Camila Borrero Fonseca, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maria Camila Borrero Fonseca, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-01-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA