Provider Demographics
NPI:1376713172
Name:DR. ROJAS/ DR.ROTHSTEIN,DDS
Entity Type:Organization
Organization Name:DR. ROJAS/ DR.ROTHSTEIN,DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROTHSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:818-886-9920
Mailing Address - Street 1:9145 RESEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3031
Mailing Address - Country:US
Mailing Address - Phone:818-886-9920
Mailing Address - Fax:
Practice Address - Street 1:9145 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3031
Practice Address - Country:US
Practice Address - Phone:818-886-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental