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Individual

ROANLD RALPH ROTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2525 K ST, SUITE 202, SACRAMENTO, CA 95816-5114
(916) 444-7460
(916) 444-3465
Mailing address
2525 K ST, SUITE 202, SACRAMENTO, CA 95816-5114
(916) 444-7460
(916) 444-3465

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17545
CA

Other

Enumeration date
11/22/2006
Last updated
07/08/2007
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