Jeffrey R Roth, DMD

NPI #1144399189 in Hailey, Idaho

Provider Information

NPI Number: 1144399189
Entity Type: Individual
Name: Jeffrey R Roth, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Nov 6, 2006
Last Updated: Oct 19, 2010

Practice Location

Address: 408 S MAIN ST STE 1
City: Hailey
State: Idaho
ZIP Code: 83333-8402
Phone: (208) 788-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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