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1053383109
LAURENCE CHARLES ROTH
BRONX, NY
NPI
1053383109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 026079dds)
Enumeration Date
2006-02-03
Last Update Date
2007-07-08
Business Address
Dr. LAURENCE CHARLES ROTH dds
2917 BRUCKNER BLVD
BRONX, NY 10461-5613
Phone number: 718-597-7888
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Mailing Address
Dr. LAURENCE CHARLES ROTH dds
2917 BRUCKNER BLVD
BRONX, NY 10461-5613
Phone number: 718-597-7888
Copy
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