Individual
DR. MARY KAY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
807 ST ANDREW, RAPID CITY, SD 57701-4526
(605) 343-9352
(605) 343-9352
Mailing address
807 ST ANDREW, RAPID CITY, SD 57701-4526
(605) 343-9352
(605) 343-3115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M697
SD
Other
Enumeration date
08/31/2006
Last updated
03/07/2023
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