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Individual

DR. DAVID MICHAEL ROTHBARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1055 17TH AVE, SUITE 93, LONGMONT, CO 80501-2680
(303) 772-2611
(303) 772-0161
Mailing address
1055 17TH AVE, SUITE 93, LONGMONT, CO 80501-2680
(303) 772-3989
(303) 772-0161

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
278
CO

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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