Provider Demographics
NPI:1134226780
Name:ROSENBERG, CRAIG ESRIL (DDS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ESRIL
Last Name:ROSENBERG
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 1:18700 MAIN ST
Mailing Address - Street 2:114
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1706
Mailing Address - Country:US
Mailing Address - Phone:714-841-5806
Mailing Address - Fax:714-841-4853
Practice Address - Street 1:18700 MAIN ST
Practice Address - Street 2:114
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1706
Practice Address - Country:US
Practice Address - Phone:714-841-5806
Practice Address - Fax:714-841-4853
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice