Individual
STEVEN WILLIAM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 321-6268
Mailing address
1701 E THOMAS RD, STE 204, PHOENIX, AZ 85016-7675
(602) 253-6600
(602) 733-6480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969470
—
AZ
Enumeration date
10/24/2006
Last updated
03/10/2016
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