Individual
DR. LAWRENCE E ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
290 ALAMO DR STE B, VACAVILLE, CA 95688-4261
(707) 423-7023
Mailing address
290 ALAMO DR STE B, VACAVILLE, CA 95688-4261
(707) 448-6271
(707) 448-4742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
289114-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS101861
CA
Other
Enumeration date
02/08/2006
Last updated
11/02/2020
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