DR. Philip Graber Roth, DDS

NPI #1588229421 in Wauseon, Ohio

Provider Information

NPI Number: 1588229421
Entity Type: Individual
Name: DR. Philip Graber Roth, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 7, 2019
Last Updated: May 7, 2019

Practice Location

Address: 555 PARKVIEW ST
City: Wauseon
State: Ohio
ZIP Code: 43567-1239
Phone: (419) 335-3018

Specialties & Taxonomy Codes

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

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Organizations

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