PHILIP C ROACH

FORT WAYNE, IN
NPI1265562235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008612A)
Enumeration Date2007-03-07
Last Update Date2007-10-09
Business Address
-- PHILIP C ROACH D.D.S.
2121 E DUPONT RD SUITE B
FORT WAYNE, IN 46825-1546
Phone number: 260-489-1818
Mailing Address
-- PHILIP C ROACH D.D.S.
2121 E DUPONT RD SUITE B
FORT WAYNE, IN 46825-1546
Phone number: 260-489-1818
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