Individual
DAVID A. ROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 N RIVERSIDE AVE, STE. B, RIALTO, CA 92376-5968
(909) 875-1363
(909) 875-1052
Mailing address
PO BOX 962, RIALTO, CA 92377-0962
(909) 875-1363
(909) 875-1052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38907
CA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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