JOSE ARISTIDES ROA

ELMHURST, NY
NPI1205828423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  044819)
Enumeration Date2005-08-16
Last Update Date2012-11-05
Business Address
Dr. JOSE ARISTIDES ROA DDS
4071 DENMAN ST
ELMHURST, NY 11373-1608
Phone number: 718-476-1573
Mailing Address
Dr. JOSE ARISTIDES ROA DDS
4071 DENMAN ST
ELMHURST, NY 11373-1608
Phone number: 718-476-1573