Organization · Type 2 NPI

Fabriel D Burquez

Dental Clinic/Center · Bonita, CA

NPI number 1982893087 Active

Practice location

180 Otay Lakes Rd Ste 210B
Bonita, CA 91902-2400

Fax (619) 479-4827

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X49476 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1982893087

Fabriel D Burquez's National Provider Identifier is 1982893087, issued on Oct 15, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bonita, CA. The record was last updated on Oct 15, 2007.