DR. Mark David Roth, D.D.S.

NPI #1770641284 in Davie, Florida

Provider Information

NPI Number: 1770641284
Entity Type: Individual
Name: DR. Mark David Roth, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3200 S UNIVERSITY DR
City: Davie
State: Florida
ZIP Code: 33328-2018
Phone: (954) 472-0418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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