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1205828423
JOSE ARISTIDES ROA
ELMHURST, NY
NPI
1205828423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 044819)
Enumeration Date
2005-08-16
Last Update Date
2012-11-05
Business Address
Dr. JOSE ARISTIDES ROA DDS
4071 DENMAN ST
ELMHURST, NY 11373-1608
Phone number: 718-476-1573
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Mailing Address
Dr. JOSE ARISTIDES ROA DDS
4071 DENMAN ST
ELMHURST, NY 11373-1608
Phone number: 718-476-1573
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