Provider Demographics
NPI:1316069206
Name:ROJAS KROL, GUADALUPE (DDS)
Entity type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:
Last Name:ROJAS KROL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 BUTTERMILK CROSSING
Mailing Address - Street 2:BUTTERMILK FAMILY AND COSMETIC DENTISTRY
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017
Mailing Address - Country:US
Mailing Address - Phone:859-344-9222
Mailing Address - Fax:859-344-1490
Practice Address - Street 1:2325 BUTTERMILK CROSSING
Practice Address - Street 2:BUTTERMILK FAMILY AND COSMETIC DENTISTRY
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-344-9222
Practice Address - Fax:859-344-1490
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY78011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice