DR. Wayne Roth, D.D.S.

NPI #1235230335 in Lindenhurst, New York

Provider Information

NPI Number: 1235230335
Entity Type: Individual
Name: DR. Wayne Roth, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 WELLWOOD AVE STE D
City: Lindenhurst
State: New York
ZIP Code: 11757-2000
Phone: (631) 225-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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