Provider Demographics
NPI:1497067979
Name:FRANCISCA LIDA D. ROSALES, DMD, INC
Entity type:Organization
Organization Name:FRANCISCA LIDA D. ROSALES, DMD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCA LIDA
Authorized Official - Middle Name:DUMDUM
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:831-424-4111
Mailing Address - Street 1:1209 NORTH DAVIS RD
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 RD
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty