Allen Conner Roach JR. DDS

NPI 1104949379 - Dentist - 1223G0001X

NPI Details
NPI 1104949379
Gender Male
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5413 STANLEY KELLER RD
FT WORTH TX, 76117-2010, US
Phone (817) 485-0155
Fax (817) 788-0499
Business Location
5413 STANLEY KELLER RD
FT WORTH TX, 76117-2010, US
Phone (817) 485-0155
Fax (817) 788-0499
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 9251
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According to our database, Allen Conner Roach JR. DDS NPI is 1104949379, taxonomy code is 1223G0001X and license number is 9251, license state is located at Texas. Allen Conner Roach JR. DDS physically located at 5413 Stanley Keller Rd, Ft Worth TX, 76117-2010. NPI Number Allen Conner Roach JR. DDS has the Individual type.

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1104949379 NPI number is provided on an as is basis without warranty of any kind. 1104949379 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Conner Roach JR. DDS are for informational purposes only.