Individual provider · Type 1 NPI
Jose L. Bandala, DDS
General Practice Dentistry · Roseville, CA
NPI number
1861512428
Active
Practice location
1620 Lead Hill Blvd # 300
Roseville, CA 95661-3033
Fax (916) 783-6332
Mailing address
1620 Lead Hill Blvd, Ste #300
Roseville, CA 95661-2853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 41233 (CA) |
General Practice Dentistry: 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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About NPI 1861512428
Jose L. Bandala, DDS's National Provider Identifier is 1861512428, issued on Mar 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roseville, CA. The record was last updated on Jan 20, 2016.