Provider Demographics
NPI:1023287380
Name:SLOAN M. MCDONALD, DDS AND ROBERTO J. DELOSO, DDS
Entity type:Organization
Organization Name:SLOAN M. MCDONALD, DDS AND ROBERTO J. DELOSO, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:DELOSO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-778-2100
Mailing Address - Street 1:5201 DEER VALLEY RD
Mailing Address - Street 2:#2B
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-7429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5201 DEER VALLEY RD
Practice Address - Street 2:#2B
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-7429
Practice Address - Country:US
Practice Address - Phone:925-778-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA431381223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty