Individual
JEANETTE GERMAINE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(512) 686-0207
(512) 868-3239
Mailing address
2690 BRADLEY LN, ROUND ROCK, TX 78664-4595
(214) 422-9273
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15179
TX
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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