Individual
ROSETTA LOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
136 CANNON DR, TRAVIS AFB, CA 94535-1132
(210) 428-9752
Mailing address
DAVID GRANT MEDICAL CENTER, 151 BODIN CIRCLE, FAIRFIELD, CA 94535
(707) 423-7000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22364
FL
171000000X
Military Health Care Provider
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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