Philip C Roach D.D.S.

NPI 1265562235 - Dentist - 1223G0001X

NPI Details
NPI 1265562235
Gender Male
Enumeration Date 03/07/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2121 E DUPONT RD
SUITE B
FORT WAYNE IN, 46825-1546, US
Phone (260) 489-1818
Fax (260) 490-1705
Business Location
2121 E DUPONT RD
SUITE B
FORT WAYNE IN, 46825-1546, US
Phone (260) 489-1818
Fax (260) 490-1705
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12008612A
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According to our database, Philip C Roach D.D.S. NPI is 1265562235, taxonomy code is 1223G0001X and license number is 12008612A, license state is located at Indiana. Philip C Roach D.D.S. physically located at 2121 E Dupont Rd, Fort Wayne IN, 46825-1546. NPI Number Philip C Roach D.D.S. has the Individual type.

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1265562235 NPI number is provided on an as is basis without warranty of any kind. 1265562235 is maintained by the National Plan & Provider Enumeration System. The contents of Philip C Roach D.D.S. are for informational purposes only.