-- JEFFREY R ROTH DMD ⚕️ Idaho 1144399189

NPI	1144399189
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1223G0001X Dentist, General Practice (Licence: ID D3778)
Enumeration Date	2006-11-06
Last Update Date	2010-10-19

-- JEFFREY R ROTH DMD

408 S MAIN ST STE 1

HAILEY, ID 83333-8402

Phone number: 208-788-7766

-- JEFFREY R ROTH DMD

PO BOX 727 408 SOUTH MAIN STREET, SUITE 1

HAILEY, ID 83333-0727

Phone number: 208-788-7766