Provider Demographics
NPI:1043643802
Name:RODOLFO OROZCO DDS, APC
Entity Type:Organization
Organization Name:RODOLFO OROZCO DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-249-8987
Mailing Address - Street 1:PO BOX 2609
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91903-2609
Mailing Address - Country:US
Mailing Address - Phone:619-659-9580
Mailing Address - Fax:619-659-9565
Practice Address - Street 1:2065 ARNOLD WAY STE 105
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3850
Practice Address - Country:US
Practice Address - Phone:619-659-9580
Practice Address - Fax:619-659-9535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty