Roark Dental Services Psc

NPI #1124215470 in Bayamon, Puerto Rico

Provider Information

NPI Number
1124215470
Entity Type
Organization
Organization Name
Roark Dental Services Psc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 1, 2007
Last Updated
Nov 17, 2008

Practice Location

Address
CARR 167 KM 22.6
Address 2
OFICINA DENTAL MYPENMERCADO PITUSA BAYAMON
ZIP Code
00959
Phone
(787) 288-5994

Authorized Official

Name
DR. DOMINICK GARRETT ROARK, DMD
Title
OWNER
Phone
(787) 948-5500

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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