DR. Theodora Rogers, DDS

NPI #1720430325 in Fulton, Missouri

Provider Information

NPI Number: 1720430325
Entity Type: Individual
Name: DR. Theodora Rogers, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 7, 2016
Last Updated: Jul 7, 2016

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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