| Charles J Roth Dds Inc | |
|
412 Cernon St Ste C Vacaville CA 95688-4549 | |
| (707) 448-5339 | |
| (707) 447-0956 |
| Full Name | Charles J Roth Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 412 Cernon St Ste C, Vacaville, California |
| Authorized Official Name and Position | Charles J Roth (PRESIDENT) |
| Authorized Official Contact | 7074485339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Roth Dds Inc 412 Cernon St Ste C Vacaville CA 95688 Ph: (707) 448-5339 | Charles J Roth Dds Inc 412 Cernon St Ste C Vacaville CA 95688-4549 Ph: (707) 448-5339 |
| NPI Number | 1184816589 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 08/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184816589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DL 28481 (California) | Primary |
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