Individual
DR. ASHLEY TRACZEWITZ ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
500 FOOTHILL BLVD, DENTAL SERVICE (160), SALT LAKE CITY, UT 84148-0001
(801) 584-1206
Mailing address
500 FOOTHILL BLVD, DENTAL SERVICE (160), SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2074
HI
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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