Roach, Angie

Roach, Angie is an individual health care provider with primary practice located at 27991 Buena Vista Blvd , Los Fresnos TX 78566-4261. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Roach, Angie can be contacted via phone (956) 504-7275.

Contact Information

Primary practice address
27991 Buena Vista Blvd Los Fresnos TX 78566-4261
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 3260 Arkansas

Profile Details

NPI number 1447452818
LBN Legal business name Roach, Angie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jun 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447452818 NPPES
Oklahoma MEDICAID 4303260

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