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Nicole Roth
NPI 1225323256 · on the registry since 2011 · sole proprietor
Practice
- Address
- 423 E Logan St
Moberly, MO 65270 - Phone
- (660) 263-6643
- Fax
- (660) 263-0333
- Organisation at this address
- Randolph County Health Department
Randolph County Health DepartmentInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dental Hygienist
124Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-17
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 Missouri