Individual
DR. JACK R ROCHELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1680 CHAMBERS ST STE 204, EUGENE, OR 97402-3655
(541) 683-8646
Mailing address
2610 EDGEWATER DR, EUGENE, OR 97401-1542
(541) 683-8646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5681
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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