Individual
MR. ANDREI ROSCHKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
351 N SAN MATEO DR, SAN MATEO, CA 94401-2513
(650) 344-7635
(650) 344-1909
Mailing address
351 N SAN MATEO DR, SAN MATEO, CA 94401-2513
(650) 344-7635
(650) 344-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31522
CA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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