Provider Demographics
NPI:1043365729
Name:HOPKINS, ROSALINDA BOLISAY (DMD)
Entity type:Individual
Prefix:DR
First Name:ROSALINDA
Middle Name:BOLISAY
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6080 INDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4014
Mailing Address - Country:US
Mailing Address - Phone:408-362-0711
Mailing Address - Fax:
Practice Address - Street 1:6199B SANTA TERESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-4421
Practice Address - Country:US
Practice Address - Phone:408-972-8077
Practice Address - Fax:408-629-6296
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice