Gary A. Roach, Dds, Ltd

NPI 1093044406 - Dentist - 122300000X

NPI Details
NPI 1093044406
Enumeration Date 12/14/2009
Last Updated 12/14/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GARY A GARY
Position OWNER/PRESIDENT
Phone (540) 774-1019
Fax (540) 774-9012
Practice Location
5004 BRAMBLETON AVE
ROANOKE VA, 24018-4642, US
Phone (540) 774-1019
Fax (540) 774-9012
Business Location
5004 BRAMBLETON AVE
ROANOKE VA, 24018-4642, US
Phone (540) 774-1019
Fax (540) 774-9012
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number 0401411406
Remove 1093044406 NPI Number
 

According to our database, Gary A. Roach, Dds, Ltd NPI is 1093044406, taxonomy code is 122300000X and license number is 0401411406, license state is located at Pennsylvania. Gary A. Roach, Dds, Ltd physically located at 5004 Brambleton Ave, Roanoke VA, 24018-4642. NPI Number 1033115704 has the healthcare provider type.

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1093044406 NPI number is provided on an as is basis without warranty of any kind. 1093044406 is maintained by the National Plan & Provider Enumeration System. The contents of Gary A. Roach, Dds, Ltd are for informational purposes only.