Laurence Charles Roth DDS

NPI 1053383109 - Dentist - 122300000X

NPI Details
NPI 1053383109
Gender Male
Enumeration Date 02/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2917 BRUCKNER BLVD
BRONX NY, 10461-5613, US
Phone (718) 597-7888
Fax (718) 597-7888
Business Location
2917 BRUCKNER BLVD
BRONX NY, 10461-5613, US
Phone (718) 597-7888
Fax (718) 597-7888
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 026079DDS
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According to our database, Dr. Laurence Charles Roth DDS NPI is 1053383109, taxonomy code is 122300000X and license number is 026079DDS, license state is located at New York. Laurence Charles Roth DDS physically located at 2917 Bruckner Blvd, Bronx NY, 10461-5613. NPI Number Laurence Charles Roth DDS has the Individual type.

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1053383109 NPI number is provided on an as is basis without warranty of any kind. 1053383109 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence Charles Roth DDS are for informational purposes only.