DR. Roger J. Roth, D.M.D.

NPI #1700882164 in Coeur D Alene, Idaho

Provider Information

NPI Number
1700882164
Entity Type
Individual
Name
DR. Roger J. Roth, D.M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jun 21, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1801 N 3RD ST
State
Idaho
ZIP Code
83814-3400
Phone
(208) 667-1578

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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