Organization
MARIA BORRERO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA CAMILA BORRERO FONSECA DDS (CEO)
(310) 498-8167
Entity
Organization
Contact information
Practice address
569 W LOWELL AVE, TRACY, CA 95376-3081
(626) 966-3063
Mailing address
569 W LOWELL AVE, TRACY, CA 95376-3081
(626) 966-3063
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51046
CA
Other
Enumeration date
02/27/2008
Last updated
01/22/2019
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