| Patrick L. Roetzer, D.d.s., Inc. | |
|
142 E D St Benicia CA 94510-3223 | |
| (707) 745-8002 | |
| Not Available |
| Full Name | Patrick L. Roetzer, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 142 E D St, Benicia, California |
| Authorized Official Name and Position | Patrick L Roetzer (PRESIDENT) |
| Authorized Official Contact | 7077458002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick L. Roetzer, D.d.s., Inc. 142 E D St Benicia CA 94510-3223 Ph: (707) 745-8002 | Patrick L. Roetzer, D.d.s., Inc. 142 E D St Benicia CA 94510-3223 Ph: (707) 745-8002 |
| NPI Number | 1891902755 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891902755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24690 (California) | Primary |
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