Kathleen Roth, DDS

NPI #1235153081 in West Bend, Wisconsin

Provider Information

NPI Number: 1235153081
Entity Type: Individual
Name: Kathleen Roth, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1713 VOGT DR
City: West Bend
State: Wisconsin
ZIP Code: 53095-8516
Phone: (262) 334-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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