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Organization
EDGAR D. ROQUE, D.D.S., INC
Active
Organization
EDGAR D. ROQUE, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR DONES ROQUE DDS (PRESIDENT)
(559) 772-8852
Entity
Organization
Contact information
Practice address
719 N DOUTY ST, HANFORD, CA 93230-3986
(559) 772-8852
(559) 473-1475
Mailing address
719 N DOUTY ST, HANFORD, CA 93230-3986
(559) 772-8852
(559) 473-1475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55681
CA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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