Peter Charles Roth DDS

NPI 1093821126 - Dentist - 122300000X

NPI Details
NPI 1093821126
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
121 E MAIN ST
SUITE 303
MANKATO MN, 56001-3579, US
Phone (507) 345-3060
Fax (507) 345-4520
Business Location
121 E MAIN ST
SUITE 303
MANKATO MN, 56001-3579, US
Phone (507) 345-3060
Fax (507) 345-4520
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 7701
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According to our database, Dr. Peter Charles Roth DDS NPI is 1093821126, taxonomy code is 122300000X and license number is 7701, license state is located at Minnesota. Peter Charles Roth DDS physically located at 121 E Main St, Mankato MN, 56001-3579. NPI Number Peter Charles Roth DDS has the Individual type.

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1093821126 NPI number is provided on an as is basis without warranty of any kind. 1093821126 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Charles Roth DDS are for informational purposes only.