Individual
ERIK H ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
45766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45766
DENTIST LICENSE
CA
Enumeration date
01/22/2007
Last updated
01/31/2013
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