Larry Roth
NPI 1003211780 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1637 W Wabansia Ave
Chicago, IL 60622 - Phone
- (773) 486-1286
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois