Theodora Kk Rogers, Dds, PC

NPI #1013369115 in Fulton, Missouri

Provider Information

NPI Number: 1013369115
Entity Type: Organization
Organization Name: Theodora Kk Rogers, Dds, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 13, 2016
Last Updated: Jul 13, 2016

Practice Location

Address: 1000 BLUFF ST
City: Fulton
State: Missouri
ZIP Code: 65251-2321
Phone: (573) 642-7234

Authorized Official

Name: DR. TEDDY KK ROGERS, DDS
Title: DIRECTOR
Phone: (816) 572-1973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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