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
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-3400
- Phone
- (208) 667-1578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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