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1356998322
BRIAN ROTH
HO HO KUS, NJ
NPI
1356998322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02769300)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
Dr. BRIAN ROTH DMD
625 N MAPLE AVE STE 2
HO HO KUS, NJ 07423-1590
Phone number: 201-639-5665
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Mailing Address
Dr. BRIAN ROTH DMD
57 ARMOUR RD
MAHWAH, NJ 07430-1845
Phone number: 201-264-4395
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