| Roark Dental Services PSC | |
|
Carr 167 Km 22.6 Oficina Dental Mypenmercado Pitusa Bayamon Bayamon PR 00959 | |
| (787) 288-5994 | |
| (787) 288-5994 |
| Full Name | Roark Dental Services PSC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Carr 167 Km 22.6, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Dominick Garrett Roark (OWNER) |
| Authorized Official Contact | 7879485500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roark Dental Services PSC E-43 Alamo Drive Guaynabo PR 00969 | Roark Dental Services PSC Carr 167 Km 22.6 Oficina Dental Mypenmercado Pitusa Bayamon Bayamon PR 00959 Ph: (787) 288-5994 |
| NPI Number | 1124215470 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124215470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2379 (Puerto Rico) | Primary |
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