# JESSICA ROEBER, DDS

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

## Provider details

- **NPI number:** 1902568215
- **Authorized official:** DR. JESISCA ROEBER DDS (PRESIDENT)
- **Authorized official phone:** (970) 210-5315

## Contact information

- **Practice address:** 6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
- **Practice address phone:** (970) 210-5315
- **Mailing address:** 6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
- **Mailing address phone:** (970) 210-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2021
- **Last updated:** 10/13/2021