Borrero Fonseca, Maria Camila

Borrero Fonseca, Maria Camila is an individual health care provider with primary practice located at 569 W Lowell Ave Ste 200 , Tracy CA 95376-3084. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Borrero Fonseca, Maria Camila can be contacted via phone (310) 498-8167.

Contact Information

Primary practice address
569 W Lowell Ave Ste 200 Tracy CA 95376-3084
Phone: (310) 498-8167
Fax: (209) 832-5885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 51046 California

Profile Details

NPI number 1033245345
LBN Legal business name Borrero Fonseca, Maria Camila
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jan 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033245345 NPPES
California Other 51046 DENTAL LICENSE

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