Individual
DR. ASHLEY RAYE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4175 S ALAMO AVE BLDG 400, TUCSON, AZ 85707
(520) 228-1907
Mailing address
1170 E MEGHANS RD, CAMP VERDE, AZ 86322-6525
(928) 451-2056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010836
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/25/2020
Last updated
09/22/2021
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