Organization
KYLE J ROTH 5, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BALDWIN (COO)
(919) 345-9511
Entity
Organization
Contact information
Practice address
711 N BROWN ST, CHADBOURN, NC 28431-1307
(919) 345-9511
Mailing address
711 N BROWN ST, CHADBOURN, NC 28431-1307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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