| Edgar D. Roque, D.d.s., Inc | |
|
719 N Douty St Hanford CA 93230-3986 | |
| (559) 772-8852 | |
| (559) 473-1475 |
| Full Name | Edgar D. Roque, D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 719 N Douty St, Hanford, California |
| Authorized Official Name and Position | Edgar Dones Roque (PRESIDENT) |
| Authorized Official Contact | 5597728852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar D. Roque, D.d.s., Inc 719 N Douty St Hanford CA 93230-3986 Ph: (559) 772-8852 | Edgar D. Roque, D.d.s., Inc 719 N Douty St Hanford CA 93230-3986 Ph: (559) 772-8852 |
| NPI Number | 1831581537 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831581537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55681 (California) | Primary |
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