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1770641284
MARK DAVID ROTH
DAVIE, FL
NPI
1770641284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 6440)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
DR. MARK DAVID ROTH D.D.S.
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-472-0418
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Mailing Address
DR. MARK DAVID ROTH D.D.S.
840 MOCKINGBIRD LN
PLANTATION, FL 33324-3406
Phone number: 954-472-0418
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