NPI | 1871769901 |
---|---|
Doing Business As | ROCK ROSE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | FRED D COFFMAN President 916-784-3337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 029142) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2008-05-08 |