Individual
THEODORE J ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-2333
Mailing address
10810 ROUTE 322, SHIPPENVILLE, PA 16254-4834
(724) 880-4111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025477L
PA
Other
Enumeration date
07/11/2006
Last updated
03/17/2018
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