PORTIA MARISTELA ESCOBAR DMD PDC NPI 1699890350

NPI Information

PORTIA MARISTELA ESCOBAR, DMD, PDC is a general practice dentist in Vallejo, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PORTIA MARISTELA ESCOBAR, DMD, PDC NPI is 1699890350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Portia Maristela Escobar, Professional Dental Corporation.

The provider's business location address is:

3772 SONOMA BLVD
VALLEJO, CA
ZIP 94589-202
Phone: (707) 557-6680
Fax: (707) 554-6688

The provider's authorized official is Portia Escobar .
The authorized official title is President and has the following contact phone number (707) 557-6680.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 4/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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