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Individual

DR. NORMAN K ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
125 STRAWBERRY HILL AVE, 201, STAMFORD, CT 06902-2536
(203) 323-5153
Mailing address
125 STRAWBERRY HILL AVE, 201, STAMFORD, CT 06902-2536
(203) 323-5153

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005669
CT

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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