IndividualActive
Ivan Puente Roca, RDA
NPI 1851545347 · Dental Assistant · Vancouver, WA
Provider details
- NPI number
- 1851545347
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- RDA
- Sex
- Male
- Sole proprietor
- No
- License
- RDA (WA)
Specialties & taxonomies
Dental Providers
Practice location
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 944-2814
Approximate (ZIP-level) locationGet directions
Mailing address
12711 Se Mill Plain Blvd
Vancouver, WA 98684-6053
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2008-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.