Organization
CHARLES J ROTH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J ROTH DDS (PRESIDENT)
(707) 448-5339
Entity
Organization
Contact information
Practice address
412 CERNON ST STE C, VACAVILLE, CA 95688-4549
(707) 448-5339
(707) 447-0956
Mailing address
412 CERNON ST STE C, VACAVILLE, CA 95688
(707) 448-5339
(707) 447-0956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DL 28481
CA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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