Roger Jon Ota, DDS

NPI #1205948718 in Berkeley, California

Provider Information

NPI Number: 1205948718
Entity Type: Individual
Name: Roger Jon Ota, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2020 HEARST AVE
City: Berkeley
State: California
ZIP Code: 94709-2130
Phone: (510) 841-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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