Individual
DR. WILLIAM K ROTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2404 PLEASANTVILLE RD, FALLSTON, MD 21047-2099
(410) 877-3655
(410) 877-9689
Mailing address
2404 PLEASANTVILLE RD, FALLSTON, MD 21047-2099
(410) 877-3655
(410) 877-9689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5731
MD
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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