Organization
ROARK DENTAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK GARRETT ROARK DMD (OWNER)
(787) 948-5500
Entity
Organization
Contact information
Practice address
CARR 167 KM 22.6, OFICINA DENTAL MYPENMERCADO PITUSA BAYAMON, BAYAMON, PR 00959
(787) 288-5994
(787) 288-5994
Mailing address
E-43 ALAMO DRIVE, GUAYNABO, PR 00969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2379
PR
Other
Enumeration date
10/01/2007
Last updated
11/17/2008
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