Individual
DR. ALFREDO A. DELA ROSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD, MBA
Contact information
Practice address
6063 MISSION ST, DALY CITY, CA 94014-2007
(415) 963-4121
Mailing address
6063 MISSION ST, DALY CITY, CA 94014-2007
(415) 963-4121
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
56785
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A123001
CA
Other
Enumeration date
02/27/2007
Last updated
07/11/2024
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