Healthcare Provider Details

I. General information

NPI: 1902667975
Provider Name (Legal Business Name): FATIMA TINA KAMARA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 UNION ST STE 590
SAN FRANCISCO CA
94123-4125
US

IV. Provider business mailing address

2001 UNION ST STE 590
SAN FRANCISCO CA
94123-4125
US

V. Phone/Fax

Practice location:
  • Phone: 415-409-3368
  • Fax:
Mailing address:
  • Phone: 415-409-3368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number111409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: