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1699976902
MARY K. ROTH D.D.S. PC
RAPID CITY, SD
NPI
1699976902
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Entity Type
Organization
Authorized Contact
MARY KAY ROTH
Docter
605-343-9352
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: SD m697)
Enumeration Date
2007-05-31
Last Update Date
2008-06-10
Business Address
MARY K. ROTH D.D.S. PC
807 SAINT ANDREW ST
RAPID CITY, SD 57701-4526
Phone number: 605-343-9352
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Mailing Address
MARY K. ROTH D.D.S. PC
807 SAINT ANDREW ST
RAPID CITY, SD 57701-4526
Phone number: 605-343-9352
Copy
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