Provider Demographics
NPI:1215661475
Name:DEL ROSARIO DENTAL OFFICES, P.C.
Entity type:Organization
Organization Name:DEL ROSARIO DENTAL OFFICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-324-2000
Mailing Address - Street 1:32364 DYER ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1720
Mailing Address - Country:US
Mailing Address - Phone:510-324-2000
Mailing Address - Fax:510-288-1394
Practice Address - Street 1:32364 DYER ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1720
Practice Address - Country:US
Practice Address - Phone:510-324-2000
Practice Address - Fax:510-288-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental