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1306938246
DOUGLAS RENE ROTH
SAN JOSE, CA
NPI
1306938246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DG034894)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS RENE ROTH D.D.S.
1688 WILLOW ST SUITE F
SAN JOSE, CA 95125-5109
Phone number: 408-978-2060
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Mailing Address
Dr. DOUGLAS RENE ROTH D.D.S.
1688 WILLOW ST SUITE F
SAN JOSE, CA 95125-5109
Phone number: 408-978-2060
Copy
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