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General NPI Number Information
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NPI Number | 1164305124
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Entity Type | Organization
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Legal Business Name | JORGE ROCHA DDS INC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2221 CAMINO DEL RIO S STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-3609
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Country | US
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Telephone | 619-231-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 CAMINO DEL RIO S STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-3609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. JORGE ALBERTO ROCHA PALAFOX
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Credential | DDS
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Telephone | 909-552-1457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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