Provider Demographics
NPI:1184817314
Name:RICHARD ROJAS, D.D.S. & RICHARD ROTHSTEIN, D.D.S., INC.
Entity Type:Organization
Organization Name:RICHARD ROJAS, D.D.S. & RICHARD ROTHSTEIN, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-947-2135
Mailing Address - Street 1:1154 E PALMDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4866
Mailing Address - Country:US
Mailing Address - Phone:661-947-2135
Mailing Address - Fax:661-947-5419
Practice Address - Street 1:1154 E PALMDALE BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4866
Practice Address - Country:US
Practice Address - Phone:661-947-2135
Practice Address - Fax:661-947-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA28801OtherCA. STATE LICENSE NUMBER