NPI 1225323256
Nicole Roth
Practice location
- Address
- 423 E Logan St, Moberly, MO 65270-2222
- Phone
- (660) 263-6643
- Fax
- (660) 263-0333
- Mailing address
- 423 E Logan St, Moberly, MO 65270-0488
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1225323256
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jun 2011
- Record last updated
- 17 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.