| Roca Dental | |
|
79440 Corporate Center Dr Ste 103 La Quinta CA 92253-7243 | |
| (760) 564-7716 | |
| Not Available |
| Full Name | Roca Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 79440 Corporate Center Dr Ste 103, La Quinta, California |
| Authorized Official Name and Position | Alberto Rodriguez Cruz (DENTIST) |
| Authorized Official Contact | 7605647716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roca Dental 79-440 Corporate Center Dr Ste 103 La Quinta CA 92253 Ph: (760) 564-7716 | Roca Dental 79440 Corporate Center Dr Ste 103 La Quinta CA 92253-7243 Ph: (760) 564-7716 |
| NPI Number | 1538520861 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538520861 | NPI | - | NPPES |
| 1992837652 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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