Individual provider · Type 1 NPI

Dennis Michael Roth, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1114779519 Active

Practice location

9333 Genesee Ave Ste 200
San Diego, CA 92121-2113

Call (858) 657-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114779519

Dennis Michael Roth, MD's National Provider Identifier is 1114779519, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on May 6, 2024.