BRANDON J ROTH

APPLETON, WI
NPI1679733612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  6253-15)
Enumeration Date2008-06-12
Last Update Date2011-01-21
Business Address
Dr. BRANDON J ROTH DDS
3030 N BALLARD RD
APPLETON, WI 54911-8707
Phone number: 920-954-8085
Mailing Address
Dr. BRANDON J ROTH DDS
3030 N BALLARD RD
APPLETON, WI 54911-8707
Phone number: 920-954-8085
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