Individual
JACQUELINE DELA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4867 MISSION ST, SAN FRANCISCO, CA 94112-3413
(415) 585-6216
(415) 333-4726
Mailing address
4867 MISSION ST, SAN FRANCISCO, CA 94112-3413
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51914
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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