DERRELL JAY ROACH

SAN ANTONIO, TX
NPI1386719649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  18665)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Dr. DERRELL JAY ROACH DDS
14701 SAN PEDRO STE 250
SAN ANTONIO, TX 78232
Phone number: 210-507-9207
Mailing Address
Dr. DERRELL JAY ROACH DDS
14701 SAN PEDRO SUITE #250
SAN ANTONIO, TX 78232
Phone number: 210-507-9207
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