Individual
DR. KENNETH P ROTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2933 LAKE SHORE DR, LONG BEACH, IN 46360-1705
(219) 874-1076
(219) 879-8030
Mailing address
2933 LAKE SHORE DR, LONG BEACH, IN 46360-1705
(219) 874-1076
(219) 879-8030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009645A
IN
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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