| Maria Borrero Dental Corp | |
|
569 W Lowell Ave Tracy CA 95376-3081 | |
| (626) 966-3063 | |
| Not Available |
| Full Name | Maria Borrero Dental Corp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 569 W Lowell Ave, Tracy, California |
| Authorized Official Name and Position | Maria Camila Borrero Fonseca (CEO) |
| Authorized Official Contact | 3104988167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Borrero Dental Corp 569 W Lowell Ave Tracy CA 95376-3081 Ph: (626) 966-3063 | Maria Borrero Dental Corp 569 W Lowell Ave Tracy CA 95376-3081 Ph: (626) 966-3063 |
| NPI Number | 1073782710 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073782710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 51046 (California) | Primary |
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