Individual
DR. ZACHARY M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10855 N TATUM BLVD, 170, PHOENIX, AZ 85028-3052
(480) 948-2273
Mailing address
15440 N 71ST ST, # 307, SCOTTSDALE, AZ 85254-2197
(480) 383-9034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008260
AZ
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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