Individual
DR. BRUCE T ROACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5270 HIGHLAND RD, WATERFORD, MI 48327-1913
(248) 673-2400
(248) 673-8663
Mailing address
5270 HIGHLAND RD, WATERFORD, MI 48327-1913
(248) 673-2400
(248) 673-8663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656335
—
MI
Enumeration date
05/22/2006
Last updated
07/08/2007
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