Provider Demographics
NPI:1740422914
Name:ROSALES, FRANCISCA LIDA DUMDUM (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCA LIDA
Middle Name:DUMDUM
Last Name:ROSALES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 NORTH DAVIS ROAD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-1996
Mailing Address - Country:US
Mailing Address - Phone:831-424-4111
Mailing Address - Fax:831-755-1917
Practice Address - Street 1:1209 NORTH DAVIS ROAD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-1996
Practice Address - Country:US
Practice Address - Phone:831-424-4111
Practice Address - Fax:831-755-1917
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice