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Fabriel D Burquez
Dental Clinic/Center in Bonita, California
NPI 1982893087

Fabriel D Burquez is a Dental Clinic/Center based in Bonita, CA and is specialized in Dental. Fabriel D Burquez practices in Bonita, CA. The NPI Number for Fabriel D Burquez is 1982893087 and holds a License No. 49476 (California).

The current practice location address for Fabriel D Burquez is 180 Otay Lakes Rd Ste 210B, Bonita, CA and can be reached out via phone at 619-479-4457 and via fax at 619-479-4827.

Location: 180 Otay Lakes Rd Ste 210B, Bonita, CA, 91902-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982893087
Provider Name
Fabriel D Burquez
Credential
Provider Entity Type
Organization
Address
180 Otay Lakes Rd Ste 210B, Bonita, CA, 91902-2400
Phone Number
619-479-4457
Fax Number
619-479-4827
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G89774-01 01 CA DENTICAL
institution
Provider Business Practice Location Address Details
Address
180 Otay Lakes Rd Ste 210B
City
Bonita
State
California
Zip
91902-2400
Phone Number
619-479-4457
Fax Number
619-479-4827
person
Provider Business Mailing Address Details
Address
180 Otay Lakes Rd Ste 210B
City
Bonita
State
California
Zip
91902-2400
Phone Number
619-479-4457
Fax Number
619-479-4827
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
49476 (California)
Definition
Definition to come...
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