Provider Demographics
NPI:1952048043
Name:CAMBEROS, JOSE ISRAEL (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ISRAEL
Last Name:CAMBEROS
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:4364 BONITA ROAD #233
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-1421
Mailing Address - Country:US
Mailing Address - Phone:619-421-6632
Mailing Address - Fax:866-864-5572
Practice Address - Street 1:PASEO DEL CENTERNARIO #9580-2205A
Practice Address - Street 2:NEW CITY MEDICAL PLAZA
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIF
Practice Address - Zip Code:22010
Practice Address - Country:MX
Practice Address - Phone:664-685-8014
Practice Address - Fax:866-864-5572
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ZZ61103681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics