| Roth Orthodontics | |
|
290 Alamo Dr Ste B Vacaville CA 95688-4261 | |
| (707) 448-6271 | |
| (707) 448-4742 |
| Full Name | Roth Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 290 Alamo Dr Ste B, Vacaville, California |
| Authorized Official Name and Position | Lawrence E. Roth (PRESIDENT) |
| Authorized Official Contact | 7074486271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roth Orthodontics 230 Fernwood Way Dixon CA 95620-3721 Ph: (707) 880-0983 | Roth Orthodontics 290 Alamo Dr Ste B Vacaville CA 95688-4261 Ph: (707) 448-6271 |
| NPI Number | 1265909113 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265909113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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