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1740313014
MARK JULIAN ROTH
EAST HARTFORD, CT
NPI
1740313014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CT 4847)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
DR. MARK JULIAN ROTH D.M.D.
53 CONNECTICUT BLVD
EAST HARTFORD, CT 06108-3055
Phone number: 860-289-8219
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Mailing Address
DR. MARK JULIAN ROTH D.M.D.
53 CONNECTICUT BLVD
EAST HARTFORD, CT 06108-3055
Phone number: 860-289-8219
Copy
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