# EDGAR D. ROQUE, D.D.S., INC

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

## Provider details

- **NPI number:** 1831581537
- **Authorized official:** DR. EDGAR DONES ROQUE DDS (PRESIDENT)
- **Authorized official phone:** (559) 772-8852

## Contact information

- **Practice address:** 719 N DOUTY ST, HANFORD, CA 93230-3986
- **Practice address phone:** (559) 772-8852
- **Practice address fax:** (559) 473-1475
- **Mailing address:** 719 N DOUTY ST, HANFORD, CA 93230-3986
- **Mailing address phone:** (559) 772-8852
- **Mailing address fax:** (559) 473-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 55681 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/04/2015