BRUCE DEE ROACH

AUSTIN, TX
NPI1225056690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  13219)
Enumeration Date2006-07-17
Last Update Date2007-07-11
Business Address
Dr. BRUCE DEE ROACH dds
11672 JOLLYVILLE RD
AUSTIN, TX 78759-3935
Phone number: 512-918-0005
Mailing Address
Dr. BRUCE DEE ROACH dds
11672 JOLLYVILLE RD
AUSTIN, TX 78759-3935
Phone number: 512-918-0005