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Individual
STEVEN E ROTH
Active
Individual
STEVEN E ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN12059
FL
1223G0001X
General Practice Dentistry
Primary
DN12059
FL
1223P0300X
Periodontics
DN12059
FL
1223P0700X
Prosthodontics
DN12059
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN12059
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN12059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN12059
LICENSE NUMBER
FL
Enumeration date
08/06/2008
Last updated
08/06/2008
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