JEFFREY R ROTH

HAILEY, ID
NPI1144399189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3778)
Enumeration Date2006-11-06
Last Update Date2010-10-19
Business Address
JEFFREY R ROTH DMD
408 S MAIN ST STE 1
HAILEY, ID 83333-8402
Phone number: 208-788-7766
Mailing Address
JEFFREY R ROTH DMD
PO BOX 727 408 SOUTH MAIN STREET, SUITE 1
HAILEY, ID 83333-0727
Phone number: 208-788-7766
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