Individual
DR. CHARLES J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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 95688-4549
(707) 448-5339
(707) 447-0956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL 28481
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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