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Organization

BRUCE T. ROACH, D.D.S., P.C.

Active
Other names
Dental One
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI ARNOLD (OFFICE COORDINATOR)
(248) 673-2400
Entity
Organization

Contact information

Practice address
5270 HIGHLAND RD, WATERFORD, MI 48327-1913
(248) 673-2400
(248) 673-8663
Mailing address
5270 HIGHLAND RD, WATERFORD, MI 48327-1913
(248) 673-2400
(248) 673-8663

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12916
MI
1223G0001X
General Practice Dentistry
20149
MI

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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