JUSTIN LEE ROTH

COLORADO SPRINGS, CO
NPI1104827930
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy122300000X Dentist
(Licence: CO  3407)
Enumeration Date2005-08-02
Last Update Date2007-07-08
Business Address
JUSTIN LEE ROTH DDS
5929 CONSTITUTION AVE
COLORADO SPRINGS, CO 80915-1211
Phone number: 719-638-1986
Mailing Address
JUSTIN LEE ROTH DDS
5929 CONSTITUTION AVE
COLORADO SPRINGS, CO 80915-1211
Phone number: 719-638-1986
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