Roger Jon Ota, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1205948718
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 34752 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Practice location
2020 Hearst Ave
Berkeley, CA 94709-2130
(510) 841-0662