Individual
TELLY ROMAN ROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CARR. #2 KM. 65.6 BO FACTOR 1, ARECIBO, PR 00612
(787) 650-2333
Mailing address
2745 PASEO ADONIS, TOA BAJA, PR 00949-4224
(787) 619-3774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3308
PR
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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