DR. Carlos Juan Roa

NPI #1821152455 in Chillicothe, Illinois

Provider Information

NPI Number: 1821152455
Entity Type: Individual
Name: DR. Carlos Juan Roa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 607 SOUTH FOURTH STREET
Address 2: SUITE B
City: Chillicothe
State: Illinois
ZIP Code: 61523
Phone: (309) 274-6237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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