Individual
DR. TIMOTHY LEONARD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
707 ELM AVE E, DELANO, MN 55328-9183
(763) 972-2800
Mailing address
707 ELM AVE E, DELANO, MN 55328-9183
(763) 972-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12823
MN
Other
Enumeration date
06/28/2010
Last updated
12/14/2016
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