Provider Demographics
NPI:1205902970
Name:OROZCO, RODOLFO (DDS)
Entity type:Individual
Prefix:
First Name:RODOLFO
Middle Name:
Last Name:OROZCO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RODOLFO
Other - Middle Name:AMAYA
Other - Last Name:OROZCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2065 ARNOLD WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-3850
Mailing Address - Country:US
Mailing Address - Phone:619-659-9580
Mailing Address - Fax:619-659-9535
Practice Address - Street 1:2065 ARNOLD WAY STE 105
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3850
Practice Address - Country:US
Practice Address - Phone:619-659-9580
Practice Address - Fax:619-659-9535
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice