Individual
DR. RAFAEL ROCHA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSC, PHD
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6965
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022451
MI
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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