Provider Demographics
NPI:1689818635
Name:ROCES, MARIA VICTORIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:VICTORIA
Last Name:ROCES
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 1:260 CALIFORNIA ST
Mailing Address - Street 2:SUITE 805
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-4396
Mailing Address - Country:US
Mailing Address - Phone:415-935-8916
Mailing Address - Fax:707-980-7981
Practice Address - Street 1:260 CALIFORNIA ST
Practice Address - Street 2:SUITE 805
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-4396
Practice Address - Country:US
Practice Address - Phone:415-935-8916
Practice Address - Fax:707-980-7981
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54302122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist