Grace Roh, | |
501 W Sierra Ave Apt 219, Fresno, CA 93704-1139 | |
(951) 202-4729 | |
Not Available |
Full Name | Grace Roh |
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Gender | Female |
Speciality | Dentist |
Location | 501 W Sierra Ave Apt 219, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992127005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 62989 (California) | Primary |
Entity Name | St Johns Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
Mailing Address | Practice Location Address |
---|---|
Grace Roh, 501 W Sierra Ave Apt 219, Fresno, CA 93704-1139 Ph: () - | Grace Roh, 501 W Sierra Ave Apt 219, Fresno, CA 93704-1139 Ph: (951) 202-4729 |
Rahul Deepak Golani, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4646 N 1st St, Fresno, CA 93726 Phone: 800-300-6664 | |
Dr. Gregory Miyake, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7234 N Sequoia Ave, Fresno, CA 93711 Phone: 559-246-4195 Fax: 559-447-1813 | |
Dr. Albert Pomerantz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 N 1st St Ste 101, Fresno, CA 93726 Phone: 559-226-6681 Fax: 559-226-6806 | |
Mr. Paramjit S Sandhu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2509 E Cole Ave, Fresno, CA 93720 Phone: 559-323-7120 | |
Dr. Quincy Izabela Sofowora, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4901 E Kings Canyon Rd, Fresno, CA 93727 Phone: 866-592-8129 | |
Saadia A Rana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6687 N Blackstone Ave Ste 101, Fresno, CA 93710 Phone: 559-439-5231 | |
Dr. Aye K. Ko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 N Fresno St, Fresno, CA 93703 Phone: 559-264-4543 Fax: 559-264-0226 |