Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Puente Roca, RDA

Individual provider Dental Assistant · NPI 1851545347

Ivan Puente Roca, RDA is a Dental Assistant in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053
Phone: (360) 944-2814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA (WA)

Record details

NPI number1851545347
Entity typeIndividual (Type 1)
GenderMale
Credentials RDA
Sole proprietorNo
NPI enumeratedNovember 10, 2008
Last updated in NPPESNovember 10, 2008
Mailing address12711 Se Mill Plain Blvd, Vancouver, WA 98684-6053

Other providers in Vancouver