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Dr. Douglas Rene Roth, DDS
General Practice Dentistry in San Jose, California
NPI 1306938246

Douglas Rene Roth is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Douglas Rene Roth practices in San Jose, CA and has the professional credentials of DDS. The NPI Number for Douglas Rene Roth is 1306938246 and holds a License No. DG034894 (California).

The current practice location address for Douglas Rene Roth is 1688 Willow St, San Jose, CA and can be reached out via phone at 408-978-2060.

Location: 1688 Willow St, San Jose, CA, 95125-5109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306938246
Provider Name
Douglas Rene Roth
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1688 Willow St, San Jose, CA, 95125-5109
Phone Number
408-978-2060
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1688 Willow St
City
San Jose
State
California
Zip
95125-5109
Phone Number
408-978-2060
Fax Number
person
Provider Business Mailing Address Details
Address
1688 Willow St
City
San Jose
State
California
Zip
95125-5109
Phone Number
408-978-2060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DG034894 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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