| Millard Roth, Dds Inc | |
|
24741 Alicia Pkwy Suite A Laguna Hills CA 92653-4613 | |
| (949) 855-0450 | |
| (949) 855-0492 |
| Full Name | Millard Roth, Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24741 Alicia Pkwy, Laguna Hills, California |
| Authorized Official Name and Position | Millard Roth (DENTIST) |
| Authorized Official Contact | 9498550450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millard Roth, Dds Inc 24741 Alicia Pkwy Suite A Laguna Hills CA 92653-4613 Ph: (949) 855-0450 | Millard Roth, Dds Inc 24741 Alicia Pkwy Suite A Laguna Hills CA 92653-4613 Ph: (949) 855-0450 |
| NPI Number | 1578765673 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578765673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36275 (California) | Primary |
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