Provider Demographics
NPI:1003837774
Name:DEL ROSARIO, RENE NARCISO (DDS)
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:NARCISO
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:JOSE RENE
Other - Middle Name:NARCISO
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:32364 DYER ST.
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-9998
Mailing Address - Country:US
Mailing Address - Phone:510-324-2000
Mailing Address - Fax:510-288-1394
Practice Address - Street 1:32364 DYER ST.
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-9998
Practice Address - Country:US
Practice Address - Phone:510-324-2000
Practice Address - Fax:510-288-1394
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice