Individual
DR. THEODORE EVERETT ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR, BEAUFORT, SC 29902-6122
(843) 228-3500
(843) 228-5196
Mailing address
BLDG. H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMM ATTN: MEDICAL STAFF SERVICES, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26281
CA
Other
Enumeration date
11/28/2005
Last updated
07/20/2022
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