Provider Demographics
NPI:1366517658
Name:DELOSO, ROBERTO JOSE (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:JOSE
Last Name:DELOSO
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5201 DEER VALLEY RD
Mailing Address - Street 2:#2B
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-7429
Mailing Address - Country:US
Mailing Address - Phone:925-778-2100
Mailing Address - Fax:925-778-3024
Practice Address - Street 1:5201 DEER VALLEY RD
Practice Address - Street 2:#2B
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-7429
Practice Address - Country:US
Practice Address - Phone:925-778-2100
Practice Address - Fax:925-778-3024
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA431381223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery