Mesa Roth, DDS

NPI #1043411994 in Greeley, Colorado

Provider Information

NPI Number: 1043411994
Entity Type: Individual
Name: Mesa Roth, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 29, 2007
Last Updated: Jun 3, 2014

Practice Location

Address: 1006 A ST
City: Greeley
State: Colorado
ZIP Code: 80631-2021
Phone: (970) 352-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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