Samantha Roach D.D.S.

NPI 1083932230 - Dentist - 122300000X

NPI Details
NPI 1083932230
Gender Female
Enumeration Date 05/12/2010
Last Updated 02/24/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
515 DELAWARE ST SE
MOOS TOWER, DEPARTMENT OF ENDODONTICS, 8TH FLOOR
MINNEAPOLIS MN, 55455-0357, US
Phone (404) 449-8441
Fax
Business Location
5829 UPTON AVE S
MINNEAPOLIS MN, 55410-2960, US
Phone (612) 558-6033
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number R448
Remove 1083932230 NPI Number
 

According to our database, Dr. Samantha Roach D.D.S. NPI is 1083932230, taxonomy code is 122300000X and license number is R448, license state is located at Minnesota. Samantha Roach D.D.S. physically located at 515 Delaware St Se, Minneapolis MN, 55455-0357. NPI Number Samantha Roach D.D.S. has the Individual type.

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1083932230 NPI number is provided on an as is basis without warranty of any kind. 1083932230 is maintained by the National Plan & Provider Enumeration System. The contents of Samantha Roach D.D.S. are for informational purposes only.