KELLY ROTH, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1104837111
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 20709 (OH) |
Frequently Asked Questions
NPI 1104837111 is the National Provider Identifier for KELLY ROTH, D.D.S., a Dentist - General Practice provider located in North Canton, OH. This NPI was enumerated on August 11, 2006.
KELLY ROTH, D.D.S. practices at 1515 PORTAGE ST NW, SUITE I, North Canton, OH 44720.
Quick Facts
- NPI
- 1104837111
- Type
- Individual
- Enumerated
- Aug 11, 2006
- Last Updated
- Jul 8, 2007
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