DR. Roger Blair Woodrome, D.M.D.

NPI #1326169582 in Mount Vernon, Illinois

Provider Information

NPI Number: 1326169582
Entity Type: Individual
Name: DR. Roger Blair Woodrome, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4214 LINCOLNSHIRE DR
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2156
Phone: (618) 244-6912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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