DR. Maria Angelica Fonseca Ricaurte, DDS

NPI #1568000743 in Berkeley, California

Provider Information

NPI Number: 1568000743
Entity Type: Individual
Name: DR. Maria Angelica Fonseca Ricaurte, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Prosthodontics
Credential: DDS
Enumeration Date: Dec 18, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 2999 REGENT ST STE 714
City: Berkeley
State: California
ZIP Code: 94705-2122
Phone: (510) 848-3143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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