Organization
KYLE J. ROTH, D.D.S., P.A.
Active
Other names
Carolina Dental Arts of Brier Creek
Organization subpart
No
Provider details
NPI number
Authorized official
PARKER BRIDGFORTH (FINANCIAL MANAGER)
(919) 412-2520
Entity
Organization
Contact information
Practice address
8301 BRIER CREEK PKWY, STE. 103, RALEIGH, NC 27617-7326
(919) 412-2520
Mailing address
5220 TALLOWTREE DR, RALEIGH, NC 27613-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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