Portia Maristela Escobar, Dmd, Pdc
NPI #1699890350 in Vallejo, California
Provider Information
- NPI Number
- 1699890350
- Entity Type
- Organization
- Organization Name
- Portia Maristela Escobar, Dmd, Pdc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Apr 30, 2012
Practice Location
- Address
- 3772 SONOMA BLVD
- City
- Vallejo
- State
- California
- ZIP Code
- 94589-2202
- Phone
- (707) 557-6680
Authorized Official
- Name
- DR. PORTIA ESCOBAR, DMD
- Title
- PRESIDENT
- Phone
- (707) 557-6680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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