Organization
ANDREW A ROECHNER JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ANTHONY ROECHNER JR. D.D.S. (PRESIDENT)
(815) 725-8075
Entity
Organization
Contact information
Practice address
300 N HAMMES AVE, JOLIET, IL 60435-8116
(815) 725-8075
Mailing address
300 N HAMMES AVE, JOLIET, IL 60435-8116
(815) 725-8075
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-022413
IL
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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