MEDICARE: MR. RENE NARCISO DEL ROSARIO D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	38667	CA

General Provider Information

NPI Number	:	1003837774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RENE NARCISO DEL ROSARIO D.D.S

Provider Business Mailing Address
First Line	:	32364 DYER ST.
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-9998
Country	:	US
Telephone Number	:	510-324-2000
Fax Number	:	510-288-1394

Provider Business Practice Location Address
First Line	:	32364 DYER ST.
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-9998
Country	:	US
Telephone Number	:	510-324-2000
Fax Number	:	510-288-1394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/13/2022

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