Individual
DR. JOHN JEREMY ROTHRAUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20 E MCKINLEY WAY, POLAND, OH 44514-2071
(330) 757-7713
(330) 757-7715
Mailing address
20 E MCKINLEY WAY, POLAND, OH 44514-2071
(330) 757-7713
(330) 757-7715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2414248
—
OH
Enumeration date
09/20/2006
Last updated
10/18/2012
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