Individual
DR. STEPHEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 W BALTIMORE ST FL 7, BALTIMORE, MD 21201-1510
(410) 706-8345
Mailing address
650 W BALTIMORE ST FL 7, BALTIMORE, MD 21201-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
061196
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
LL935
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2019
Last updated
02/10/2025
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