Individual
ELIZABETH DARLENE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4515 POPLAR AVE STE 406, MEMPHIS, TN 38117-7508
(901) 683-9800
Mailing address
4515 POPLAR AVE STE 406, MEMPHIS, TN 38117-7508
(901) 683-9800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7788
TN
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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