Individual
CINDY ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-5727
(813) 288-1999
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100, TAMPA, FL 33607-1421
(813) 288-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS0000008295
TN
1223G0001X
General Practice Dentistry
Primary
16590
FL
1223G0001X
General Practice Dentistry
DN013293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001835600
—
FL
Enumeration date
09/05/2006
Last updated
04/10/2015
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