| Roger W. Ashworth A Professional Corporation | |
|
102 Fifth Street Arbuckle CA 95912 | |
| (530) 476-2219 | |
| (530) 476-2930 |
| Full Name | Roger W. Ashworth A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Fifth Street, Arbuckle, California |
| Authorized Official Name and Position | Roger Walter Ashworth (OWNER) |
| Authorized Official Contact | 9169191841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger W. Ashworth A Professional Corporation 20030 Old River Rd West Sacramento CA 95691-8004 Ph: (916) 919-1841 | Roger W. Ashworth A Professional Corporation 102 Fifth Street Arbuckle CA 95912 Ph: (530) 476-2219 |
| NPI Number | 1891112249 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891112249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25118 (California) | Primary |