NPI 1023254885

William Rosales, RDA

Practitioner Dental Assistant Van Nuys, CA

Practice location

Address: 13716 Sherman Way, Van Nuys, CA 91405-2626
Phone: (818) 988-2020
Fax: (818) 988-2004
Mailing address: 321 E Fairview Ave Apto #104, Glendale, CA 91207-1968

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 61378 (CA)

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Registry record

NPI: 1023254885
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2008
Record last updated: 29 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.