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1225056690
BRUCE DEE ROACH
AUSTIN, TX
NPI
1225056690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13219)
Enumeration Date
2006-07-17
Last Update Date
2007-07-11
Business Address
Dr. BRUCE DEE ROACH dds
11672 JOLLYVILLE RD
AUSTIN, TX 78759-3935
Phone number: 512-918-0005
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Mailing Address
Dr. BRUCE DEE ROACH dds
11672 JOLLYVILLE RD
AUSTIN, TX 78759-3935
Phone number: 512-918-0005
Copy
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