Provider Demographics
NPI:1669940953
Name:DR. GARCIA-ROJAS D.D.S. INC.
Entity type:Organization
Organization Name:DR. GARCIA-ROJAS D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS-BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-388-6100
Mailing Address - Street 1:10 WILLOW ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2895
Mailing Address - Country:US
Mailing Address - Phone:415-388-6100
Mailing Address - Fax:415-388-8644
Practice Address - Street 1:10 WILLOW ST STE 6
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2895
Practice Address - Country:US
Practice Address - Phone:415-388-6100
Practice Address - Fax:415-388-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1174624175OtherNPI ENUMERATOR
CA1174624175OtherNPI ENUMERATOR