ZACHARY D ROTH

FORT WAYNE, IN
NPI1821347402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18003761A)
Enumeration Date2012-08-29
Last Update Date2016-03-02
Business Address
Dr. ZACHARY D ROTH O.D.
3301 LAKE AVE
FORT WAYNE, IN 46805-5529
Phone number: 260-422-3937
Mailing Address
Dr. ZACHARY D ROTH O.D.
3301 LAKE AVE
FORT WAYNE, IN 46805-5529
Phone number: 260-422-3937
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