| 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 |