Dental Board of California
Licensing details for: 947
Name: Borrero Fonseca, Maria Camila
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: BORRERO, MARIA CAMILA ❖ BORRERO, CAMILA
Address of Record
569 W LOWELL AVE
STE 200
TRACY CA 95376
SAN JOAQUIN county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: Borrero Fonseca, Maria Camila
License/Registration Type: Dentist License
License Number: 51046 Primary Status: Current - Active
Address :
569 W LOWELL AVE
STE 200
TRACY CA 95376
SAN JOAQUIN COUNTY
