Demetrio Dela Rosa Fernandez, DMD Valid NPI
Individual provider · General Practice Dentistry · Mission Viejo, CA
- NPI
- 1104946490
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 38678 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-30
- Last updated
- 2007-07-08
Practice location
25982 Pala Drive, Suite 130
Mission Viejo, CA 92691
(949) 829-8411