Individual
DR. KATHERINE ANDERSON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
306 FOUNTAINS DR, MADISON, MS 39110-6384
(601) 605-1410
Mailing address
3117 W TIDEWATER LN, MADISON, MS 39110-8928
(662) 202-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4459-24
MS
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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