Provider Demographics
NPI:1548421209
Name:ROJAS DOWGIALLO, JUAN A (DDS)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:A
Last Name:ROJAS DOWGIALLO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-3258
Mailing Address - Country:US
Mailing Address - Phone:804-892-1330
Mailing Address - Fax:804-520-1474
Practice Address - Street 1:1021 BOULEVARD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-3258
Practice Address - Country:US
Practice Address - Phone:804-892-1330
Practice Address - Fax:804-520-1474
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014121391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice