Individual
DR. LARRY GENE ROTHFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 REILLY ST, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 643-2196
(910) 396-7017
Mailing address
2817 REILLY ST, MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 643-2196
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5426
NE
Other
Enumeration date
04/27/2006
Last updated
08/30/2012
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