Search › Wisconsin › 122300000X
Justin Roche, DDS
NPI 1356921894 · on the registry since 2021
Practice
- Address
- 11600 W North Ave
Wauwatosa, WI 53226 - Phone
- (414) 462-3160
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin