Provider Demographics
NPI:1972643799
Name:ORONCE, MARIA THERESA G (DMD INC)
Entity type:Individual
Prefix:
First Name:MARIA THERESA
Middle Name:G
Last Name:ORONCE
Suffix:
Gender:F
Credentials:DMD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N EL DORADO ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-5801
Mailing Address - Country:US
Mailing Address - Phone:209-292-8737
Mailing Address - Fax:204-851-3187
Practice Address - Street 1:1701 N EL DORADO ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-5801
Practice Address - Country:US
Practice Address - Phone:209-292-8737
Practice Address - Fax:209-851-3187
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA134816101OtherDENTAL