Male or Other

Mr. Roland A. Federico DDS

Dentist in Orange Park, FL(View on Map)

Full Name

Mr. Roland Adrien Federico DDS

NPI Number

1659474021

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/07/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

5486

Contact
Information

Purpose

Mailing
Location

Address

1409 KINGSLEY AVENUE
1409 KINGSLEY AVENUE

City

Orange Park
Orange Park

State

FL
FL

Postal Code

32073-4579
32073-4579

Country

US
US

Telephone Number

(904) 264-5806
(904) 264-5806

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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