Provider Demographics
NPI:1467509844
Name:DEL ROSARIO, ERICA ANGELES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ANGELES
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3468 MCKEE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-2231
Mailing Address - Country:US
Mailing Address - Phone:408-923-0982
Mailing Address - Fax:408-586-9557
Practice Address - Street 1:3468 MCKEE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-2231
Practice Address - Country:US
Practice Address - Phone:408-923-0982
Practice Address - Fax:408-586-9557
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice