Maria Borrero Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

51046 Issued in CA

Legal business name

MARIA BORRERO DENTAL CORP

Practice address

569 W Lowell Ave
Tracy, CA 95376-3081

Phone

(626) 966-3063

NPI assigned

Feb 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria Camila Borrero Fonseca, DDS

Title

Ceo

Phone

(310) 498-8167

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1073782710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 W LOWELL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763081",
            "telephone_number": "626-966-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 W LOWELL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763081",
            "telephone_number": "626-966-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA BORRERO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "BORRERO FONSECA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CAMILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-498-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soterry Mao
• Mikaela Marcos
• Elaina Sofia Marcum
• Masood Mehdi Mardanzai
• Felicity Marez
• Marie Parisek DDS Inc
• Marco Marin Jr
• Marino J. Alea Iglesias, DDS, P.C
• Mark David Levine, MD Tracy PC
• Beatriz A Marquez

• Pediatric Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.