Dr. Leon Roda III, D.D.S.
Dentist, General Practice in Jackson, CA. Individual provider (NPI-1).
NPI number1154472025
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154472025
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leon Roda III
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 41781 | CA | Yes |
Practice location
100 French Bar RdSuite 101
Jackson, CA 95642-2557
Phone 209-223-2712 · Fax 209-223-2719
Mailing address
100 French Bar RdSuite 101
Jackson, CA 95642-2557
Phone 209-223-2712 · Fax 209-223-2719
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