DR. Peter Charles Roth, DDS

NPI #1093821126 in Mankato, Minnesota

Provider Information

NPI Number
1093821126
Entity Type
Individual
Name
DR. Peter Charles Roth, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
121 E MAIN ST
Address 2
SUITE 303
ZIP Code
56001-3579
Phone
(507) 345-3060

Specialties & Taxonomy Codes

Specialty
Dentist

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