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Individual

BARRY F ROUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
11410 JOLLYVILLE RD, SUITE 2102, AUSTIN, TX 78759-4093
(512) 338-1118
(512) 338-1332
Mailing address
11410 JOLLYVILLE ROAD, SUITE 2102, AUSTIN, TX 78759-4093
(512) 338-1118
(512) 338-1332

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13278
TX

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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