DR. Gary D Roth, D.D.S.

NPI #1669555611 in Fairfield, Iowa

Provider Information

NPI Number
1669555611
Entity Type
Individual
Name
DR. Gary D Roth, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
205 N B ST
State
Iowa
ZIP Code
52556-2944
Phone
(641) 472-3044

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
Kimball & Beecher Group LLC

Part of Kimball & Beecher Group LLC

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