Organization
EDGAR D. ROQUE, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR DONES ROQUE DDS (PRESIDENT)
(559) 772-8852
Entity
Organization
Contact information
Practice address
719 N DOUTY ST, HANFORD, CA 93230-3986
(559) 772-8852
(559) 473-1475
Mailing address
719 N DOUTY ST, HANFORD, CA 93230-3986
(559) 772-8852
(559) 473-1475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55681
CA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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