Paul Anthony Roggow, D.D.S.

NPI #1285978221 in Jackson, Minnesota

Provider Information

NPI Number: 1285978221
Entity Type: Individual
Name: Paul Anthony Roggow, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 604 SECOND STREET
City: Jackson
State: Minnesota
ZIP Code: 56143
Phone: (507) 847-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
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