Individual
DR. SAMANTHA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15015 CIMARRON AVE, ROSEMOUNT, MN 55068-2771
(612) 558-6033
Mailing address
4820 BRYANT AVE S, MINNEAPOLIS, MN 55419-5359
(612) 558-6033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R448
MN
1223E0200X
Endodontics
Primary
D13028
MN
Other
Enumeration date
05/12/2010
Last updated
12/02/2020
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