Provider Demographics
NPI:1992919815
Name:ROJAS, LUZ M (DDS)
Entity type:Individual
Prefix:DR
First Name:LUZ
Middle Name:M
Last Name:ROJAS
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 1:44200 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-3009
Mailing Address - Country:US
Mailing Address - Phone:760-775-3938
Mailing Address - Fax:760-863-4057
Practice Address - Street 1:44200 MONROE STREET
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3009
Practice Address - Country:US
Practice Address - Phone:760-775-3938
Practice Address - Fax:760-863-4057
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA503591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice