Individual
DR. BENJAMIN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 WHALON ST, FITCHBURG, MA 01420-7162
(978) 345-6911
Mailing address
73 SHERWOOD DR, METHUEN, MA 01844-2276
(215) 901-5959
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1856476
MA
Other
Enumeration date
06/26/2010
Last updated
07/01/2014
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