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Portia Maristela Escobar, Dmd, Pdc
General Practice Dentistry in Vallejo, California
NPI 1699890350

Portia Maristela Escobar, Dmd, Pdc is a General Practice Dentistry based in Vallejo, CA and is specialized in General Practice. Portia Maristela Escobar, Dmd, Pdc practices in Vallejo, CA. The NPI Number for Portia Maristela Escobar, Dmd, Pdc is 1699890350 and holds a License No. 45854 (California).

The current practice location address for Portia Maristela Escobar, Dmd, Pdc is 3772 Sonoma Blvd, Vallejo, CA and can be reached out via phone at 707-557-6680 and via fax at 707-554-6688.

Location: 3772 Sonoma Blvd, Vallejo, CA, 94589-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699890350
Provider Name
Portia Maristela Escobar, Dmd, Pdc
Credential
Provider Entity Type
Organization
Address
3772 Sonoma Blvd, Vallejo, CA, 94589-2202
Phone Number
707-557-6680
Fax Number
707-554-6688
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B45854-01 01 CA HEALTHY FAMILIES
B45854-01 01 CA DENTI-CAL, MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3772 Sonoma Blvd
City
Vallejo
State
California
Zip
94589-2202
Phone Number
707-557-6680
Fax Number
707-554-6688
person
Provider Business Mailing Address Details
Address
3772 Sonoma Blvd
City
Vallejo
State
California
Zip
94589-2202
Phone Number
707-557-6680
Fax Number
707-554-6688
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
45854 (California)
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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