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Individual
EDGAR DONES ROQUE
Active
Individual
EDGAR DONES ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55681
DOCTORS LICENSE
CA
Enumeration date
08/20/2007
Last updated
11/17/2010
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