Individual
DR. BRIAN R ROTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
519 N PLUM ST, PONTIAC, IL 61764-1818
(815) 844-6184
(815) 844-1071
Mailing address
11 RED STONE CT, BLOOMINGTON, IL 61704-8403
(309) 663-6010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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