Individual
DR. CARLOS JUAN ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 SOUTH FOURTH STREET, SUITE B, CHILLICOTHE, IL 61523
(309) 274-6237
(309) 274-2144
Mailing address
PO BOX 316, 607 SOUTH FOURTH STREET SUITE B, CHILLICOTHE, IL 61523
(309) 274-6237
(309) 274-2144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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