Carlos Juan Roa

NPI 1821152455 - Dentist - 122300000X

NPI Details
NPI 1821152455
Gender Male
Enumeration Date 12/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
607 SOUTH FOURTH STREET
SUITE B
CHILLICOTHE IL, 61523, US
Phone (309) 274-6237
Fax (309) 274-2144
Business Location
PO BOX 316
607 SOUTH FOURTH STREET SUITE B
CHILLICOTHE IL, 61523, US
Phone (309) 274-6237
Fax (309) 274-2144
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Carlos Juan Roa NPI is 1821152455, taxonomy code is 122300000X Carlos Juan Roa physically located at 607 South Fourth Street, Chillicothe IL, 61523. NPI Number Carlos Juan Roa has the Individual type.

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1821152455 NPI number is provided on an as is basis without warranty of any kind. 1821152455 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos Juan Roa are for informational purposes only.