DR. Toni M Roucka, DDS

NPI #1578550521 in Kenosha, Wisconsin

Provider Information

NPI Number: 1578550521
Entity Type: Individual
Name: DR. Toni M Roucka, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 4, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4536 22ND AVE
City: Kenosha
State: Wisconsin
ZIP Code: 53140-5917
Phone: (262) 656-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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