Edgar D. Roque, D.d.s., INC

NPI #1831581537 in Hanford, California

Provider Information

NPI Number: 1831581537
Entity Type: Organization
Organization Name: Edgar D. Roque, D.d.s., INC
Primary Specialty: Dentist
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 719 N DOUTY ST
City: Hanford
State: California
ZIP Code: 93230-3986
Phone: (559) 772-8852

Authorized Official

Name: DR. EDGAR DONES ROQUE, DDS
Title: PRESIDENT
Phone: (559) 772-8852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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