ELISA MARIE ROTH

CAMP LEJEUNE, NC
NPI1790981298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.027394)
Enumeration Date2007-06-22
Last Update Date2014-08-12
Business Address
Dr. ELISA MARIE ROTH D.M.D.
100 BREWSTER BLVD NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547-2538
Phone number: 309-349-2470
Mailing Address
Dr. ELISA MARIE ROTH D.M.D.
115 BLOSSOM CIR
HAMPSTEAD, NC 28443-3281
Phone number: 309-349-2470
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