| Rock Rose Dental Group | |
|
576 N Sunrise Ave Ste 130 Roseville CA 95661-2846 | |
| (916) 784-3337 | |
| (916) 784-7459 |
| Full Name | Rock Rose Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 576 N Sunrise Ave Ste 130, Roseville, California |
| Authorized Official Name and Position | Fred D Coffman (PRESIDENT) |
| Authorized Official Contact | 9167843337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Rose Dental Group 576 N Sunrise Ave Ste 130 Roseville CA 95661-2846 Ph: (916) 784-3337 | Rock Rose Dental Group 576 N Sunrise Ave Ste 130 Roseville CA 95661-2846 Ph: (916) 784-3337 |
| NPI Number | 1871769901 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871769901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 029142 (California) | Primary |
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