Individual
DR. MARIA ANGELICA FONSECA RICAURTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2999 REGENT ST STE 714, BERKELEY, CA 94705-2122
(510) 848-3143
Mailing address
3700 CASA VERDE ST APT 2504, SAN JOSE, CA 95134-3338
(310) 905-0335
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DDS104383
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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