Individual
DR. ALEX REZA ROELENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 LEMON AVE, LA MESA, CA 91941
(619) 466-8363
Mailing address
26096 N 74TH AVE UNIT 2319, SAN DIEGO, CA 92101
(623) 521-0143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102129
CA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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