Tyheisha Krystal Roach, DDS

NPI #1053834556 in Norfolk, Virginia

Provider Information

NPI Number: 1053834556
Entity Type: Individual
Name: Tyheisha Krystal Roach, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 18, 2017
Last Updated: Mar 17, 2022

Practice Location

Address: NAVAL MEDICAL CENTER PORTSMOUTH
Address 2: 620 JOHN PAUL JONES CIRCLE
City: Norfolk
State: Virginia
ZIP Code: 23708
Phone: (757) 953-8591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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