# D.R.P. DENTAL INDUSTRIES, INC,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679723308
- **Authorized official:** DR. JOSE ARISTIDES ROA D.D.S. (PRESIDENT)
- **Authorized official phone:** (718) 476-1573

## Contact information

- **Practice address:** 4071 DENMAN ST, ELMHURST, NY 11373-1608
- **Practice address phone:** (718) 476-1573
- **Practice address fax:** (718) 478-2485
- **Mailing address:** 4071 DENMAN ST, ELMHURST, NY 11373-1608
- **Mailing address phone:** (718) 476-1573
- **Mailing address fax:** (718) 478-2485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 044819 | NY | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 01/30/2012