Individual
MONICA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
(717) 231-5761
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
(717) 231-5761
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DF003703
PA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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