Individual
DR. RANDY SIMON ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 619-8700
Mailing address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 619-8700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6668
LA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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