Individual
DR. FREDERICK A ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
PINE HILL PROFESSIONAL BUILDING, 310 STATE ROUTE 288 SUITE 3, ELLWOOD CITY, PA 16117
(724) 758-2660
(724) 758-1060
Mailing address
649 CRABAPPLE LN, ELLWOOD CITY, PA 16117-1531
(724) 758-0957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027087-L
PA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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