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Individual
DR. ROQUE ABEL PENALOZA
Active
Individual
DR. ROQUE ABEL PENALOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052249
NY
1223G0001X
General Practice Dentistry
Primary
6992
SC
Other
Enumeration date
09/18/2008
Last updated
06/27/2011
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