Provider Demographics
NPI:1033367263
Name:ROLLOFSON, CHRISTY KIMBROUGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:KIMBROUGH
Last Name:ROLLOFSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9727 ELK GROVE FLORIN ROAD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624
Mailing Address - Country:US
Mailing Address - Phone:916-685-2105
Mailing Address - Fax:916-714-1142
Practice Address - Street 1:9727 ELK GROVE FLORIN ROAD
Practice Address - Street 2:SUITE 270
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624
Practice Address - Country:US
Practice Address - Phone:916-685-2105
Practice Address - Fax:916-714-1142
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA574721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice