Provider Demographics
NPI:1144835398
Name:ROLINDA HARSANY, DDS, INC
Entity type:Organization
Organization Name:ROLINDA HARSANY, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLINDA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:HARSANY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-255-3511
Mailing Address - Street 1:3030 BEARD RD STE A
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3446
Mailing Address - Country:US
Mailing Address - Phone:707-255-3511
Mailing Address - Fax:707-255-9503
Practice Address - Street 1:3030 BEARD RD STE A
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3446
Practice Address - Country:US
Practice Address - Phone:707-255-3511
Practice Address - Fax:707-255-9503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1780609586OtherNPI