Healthcare Provider Details
I. General information
NPI: 1184559270
Provider Name (Legal Business Name): AR DENTAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4867 MISSION ST
SAN FRANCISCO CA
94112-3413
US
IV. Provider business mailing address
4867 MISSION ST
SAN FRANCISCO CA
94112-3413
US
V. Phone/Fax
- Phone: 415-585-6216
- Fax: 415-333-4726
- Phone: 415-585-6216
- Fax: 415-333-4726
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALFREDO
E
DELA ROSA
Title or Position: DENTIST
Credential: DMD
Phone: 415-585-6216