Provider Demographics
NPI:1649157389
Name:ROCHA, BIANCA MARIA (RDH, BSDH, BS)
Entity type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:MARIA
Last Name:ROCHA
Suffix:
Gender:F
Credentials:RDH, BSDH, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 VENEZIA ST
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-6438
Mailing Address - Country:US
Mailing Address - Phone:209-752-4446
Mailing Address - Fax:
Practice Address - Street 1:816 2ND ST
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-4124
Practice Address - Country:US
Practice Address - Phone:209-812-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37505124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist