Patricia Nino De Guzman Roach, DDS

NPI #1558467530 in Lake Mary, Florida

Provider Information

NPI Number: 1558467530
Entity Type: Individual
Name: Patricia Nino De Guzman Roach, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 16, 2006
Last Updated: Mar 6, 2015

Practice Location

Address: 3300 W LAKE MARY BLVD STE 250
City: Lake Mary
State: Florida
ZIP Code: 32746-3571
Phone: (407) 688-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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