Healthcare Provider Details

I. General information

NPI: 1538854930
Provider Name (Legal Business Name): ROZENBERG DMD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 VILLA LN STE 120
NAPA CA
94558-6414
US

IV. Provider business mailing address

3434 VILLA LN STE 120
NAPA CA
94558-6414
US

V. Phone/Fax

Practice location:
  • Phone: 707-257-7771
  • Fax:
Mailing address:
  • Phone: 707-257-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEKSANDRA ROZENBERG
Title or Position: PRESIDENT
Credential: DMD
Phone: 925-818-6299