Provider Demographics
NPI:1912045725
Name:DELA ROSA, ALFREDO ESPIRITU SR (DMD)
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:ESPIRITU
Last Name:DELA ROSA
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4867 MISSION ST.REET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3413
Mailing Address - Country:US
Mailing Address - Phone:415-585-6216
Mailing Address - Fax:415-333-4726
Practice Address - Street 1:4867 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3413
Practice Address - Country:US
Practice Address - Phone:415-585-6216
Practice Address - Fax:415-333-4726
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA437761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice