Individual provider · Type 1 NPI

Maria Camila Borrero Fonseca, D.D.S

Pediatric Dentistry · Tracy, CA

NPI number 1033245345 Active

Practice location

569 W Lowell Ave Ste 200
Tracy, CA 95376-3084

Fax (209) 832-5885

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X51046 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1033245345

Maria Camila Borrero Fonseca, D.D.S's National Provider Identifier is 1033245345, issued on Feb 23, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tracy, CA. The record was last updated on Jan 22, 2019.