Individual
DR. ALEX JAMES ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 N B ST, 205 N B ST, FAIRFIELD, IA 52556-2944
(641) 472-3044
Mailing address
205 N B ST, 205 N B ST, FAIRFIELD, IA 52556-2944
(641) 472-3044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08857
IA
Other
Enumeration date
08/16/2011
Last updated
06/16/2016
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