NPI 1124215470
Roark Dental Services Psc
Practice location
- Address
- Carr 167 Km 22.6 Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959
- Phone
- (787) 288-5994
- Fax
- (787) 288-5994
- Mailing address
- E-43 Alamo Drive, Guaynabo, PR 00969
Authorised official
- Name
- Dominick Garrett Roark
- Title
- Owner
- Phone
- (787) 948-5500
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1124215470
- Entity type
- Organization
- NPI issued
- 1 Oct 2007
- Record last updated
- 17 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.