| NPI | 1649572330 |
|---|---|
| Doing Business As | SANTA ROSA DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | VICTOR R. CAMONES Dentist/Prosthodontics 714-990-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 43325) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-08-22 |