Individual
MR. DEAN ELMER ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 12TH ST NW, CANTON, OH 44708-3909
(330) 413-4107
Mailing address
3311 12TH ST NW, CANTON, OH 44708-3909
(330) 413-4107
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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