Individual
JORDAN AARON ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29001 CEDAR RD STE 670, LYNDHURST, OH 44124-6501
(440) 449-5792
Mailing address
29001 CEDAR RD STE 670, LYNDHURST, OH 44124-6501
(440) 449-5792
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.024732
OH
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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