DR. Charles D Roth, DDS

NPI #1568682060 in Rock Hall, Maryland

Provider Information

NPI Number: 1568682060
Entity Type: Individual
Name: DR. Charles D Roth, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5775 MAIN STREET
City: Rock Hall
State: Maryland
ZIP Code: 21661
Phone: (410) 778-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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