Organization
ROMAN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TELLY ROMAN ROCCA DMD (PRESIDENT)
(787) 619-3774
Entity
Organization
Contact information
Practice address
CARR. #2 KM 65.2 FACTOR, ARECIBO, PR 00612
(787) 650-2333
Mailing address
2745 PASEO ADONIS 2DA SECC., TOA BAJA, PR 00949
(787) 619-3774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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