Portia Maristela Escobar, Professional Dental Corporation
LBN: Portia Maristela Escobar, Dmd, Pdc
Portia Maristela Escobar, Professional Dental Corporation is an health care organization with primary practice located at 3772 Sonoma Blvd , Vallejo CA 94589-2202. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Portia Maristela Escobar, Dmd, Pdc can be contacted via phone (707) 557-6680, or through Escobar, Portia via phone (707) 557-6680.
Contact Information
Primary practice address
3772 Sonoma Blvd
Vallejo CA 94589-2202
Phone: (707) 557-6680
Fax: (707) 554-6688
Website:
Authorized official contact:
Name: Escobar, Portia Doctor of Dental Medicine (DMD)
Phone: (707) 557-6680
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 45854 | California |
Profile Details
| NPI number | 1699890350 |
|---|---|
| LBN Legal business name | Portia Maristela Escobar, Dmd, Pdc |
| DBA Doing business as | Portia Maristela Escobar, Professional Dental Corporation |
| Authorized official | Escobar, Portia Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Apr 30th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699890350 | NPPES |
| California | Other | B45854-01 | HEALTHY FAMILIES |
| California | Other | B45854-01 | HEALTHY FAMILIES |
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