Provider Demographics
NPI:1568299949
Name:ROJAS PEREZ, KATIA ISABEL (DDS)
Entity type:Individual
Prefix:DR
First Name:KATIA
Middle Name:ISABEL
Last Name:ROJAS PEREZ
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 1:6315 COMMERCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-2403
Mailing Address - Country:US
Mailing Address - Phone:707-584-7401
Mailing Address - Fax:
Practice Address - Street 1:6315 COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2403
Practice Address - Country:US
Practice Address - Phone:707-584-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist