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Licensing details for: 12042

Name: MARIA BORRERO DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CAMILA BORRERO DDS INC.

Address of Record

675 CONTRA COSTA BLVD
PLEASANT HILL CA 94523
CONTRA COSTA county
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Practice Location

675 CONTRA COSTA BLVD
PLEASANT HILL CA 94523
CONTRA COSTA county
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Issuance Date

October 20, 2015

Expiration Date

September 30, 2016

Current Date / Time

June 6, 2025
10:19:26 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery 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

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