Individual
DR. JOHN M ROSKOS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7350 S MCCLINTOCK DR, SUITE 104, TEMPE, AZ 85283-5006
(480) 838-3233
(480) 838-4775
Mailing address
7350 S MCCLINTOCK DR, SUITE 104, TEMPE, AZ 85283-5006
(480) 838-3233
(480) 838-4775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4816
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4816
DENTAL LICENSING BOARD
AZ
01
—
BR4643412
US DEPT OF JUSTICE
DC
Enumeration date
06/06/2006
Last updated
07/08/2007
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