Provider Demographics
NPI:1073879243
Name:MARIATHERESA G. ORONCE
Entity Type:Organization
Organization Name:MARIATHERESA G. ORONCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA THERESA
Authorized Official - Middle Name:GUINTO
Authorized Official - Last Name:ORONCE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:209-462-8361
Mailing Address - Street 1:1610 N. EL DORADO STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-5930
Mailing Address - Country:US
Mailing Address - Phone:209-462-8361
Mailing Address - Fax:209-462-0262
Practice Address - Street 1:1610 N EL DORADO ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-5930
Practice Address - Country:US
Practice Address - Phone:209-462-8361
Practice Address - Fax:209-462-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA481611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty