Individual
DR. MENACHEM D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.MMSC.
Contact information
Practice address
348 N PEARL ST, SUITE 3, BROCKTON, MA 02301-1197
(508) 584-1166
Mailing address
348 N PEARL ST, SUITE 3, BROCKTON, MA 02301-1197
(508) 584-1166
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21543
MA
Other
Enumeration date
04/10/2008
Last updated
04/16/2008
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