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Organization
KYLE J ROTH VIII DDS PA
Active
Organization
KYLE J ROTH VIII DDS PA
Active
Other names
CAROLINA DENTAL ARTS @ BLAKENEY
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ROTH (PRESIDENT)
(919) 345-9511
Entity
Organization
Contact information
Practice address
9336 BLAKENEY CENTRE DR, SUITE 100-A, CHARLOTTE, NC 28277-6666
(919) 345-9511
(919) 400-4408
Mailing address
5220 TALLOWTREE DR, RALEIGH, NC 27613-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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