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Miss Maria Camila Borrero Fonseca, DDS
Pediatric Dentist in Tracy, California
NPI 1033245345

Maria Camila Borrero Fonseca is a Pediatric Dentist based in Tracy, CA and is specialized in Pediatric Dentistry. Maria Camila Borrero Fonseca practices in Tracy, CA and has the professional credentials of DDS. The NPI Number for Maria Camila Borrero Fonseca is 1033245345 and holds a License No. 51046 (California).

The current practice location address for Maria Camila Borrero Fonseca is 569 W Lowell Ave Ste 200, Tracy, CA and can be reached out via phone at 310-498-8167 and via fax at 209-832-5885.

Location: 569 W Lowell Ave Ste 200, Tracy, CA, 95376-3084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033245345
Provider Name
Maria Camila Borrero Fonseca
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
569 W Lowell Ave Ste 200, Tracy, CA, 95376-3084
Phone Number
310-498-8167
Fax Number
209-832-5885
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51046 01 CA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
569 W Lowell Ave Ste 200
City
Tracy
State
California
Zip
95376-3084
Phone Number
310-498-8167
Fax Number
209-832-5885
person
Provider Business Mailing Address Details
Address
569 W Lowell Ave Ste 200
City
Tracy
State
California
Zip
95376-3084
Phone Number
310-498-8167
Fax Number
209-832-5885
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
51046 (California)
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.
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