MEDICARE: DR. FATIMA TINA KAMARA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	111409	CA

General Provider Information

NPI Number	:	1902667975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FATIMA TINA KAMARA DDS

Provider Business Mailing Address
First Line	:	2001 UNION ST STE 590
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4125
Country	:	US
Telephone Number	:	415-409-3368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 UNION ST STE 590
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-4125
Country	:	US
Telephone Number	:	415-409-3368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/28/2026

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