Provider Demographics
NPI:1053650739
Name:ERIK H ROOS DDS INC
Entity Type:Organization
Organization Name:ERIK H ROOS DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-893-4044
Mailing Address - Street 1:2775 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973
Mailing Address - Country:US
Mailing Address - Phone:530-893-4044
Mailing Address - Fax:530-893-4069
Practice Address - Street 1:2775 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973
Practice Address - Country:US
Practice Address - Phone:530-893-4044
Practice Address - Fax:530-893-4069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty