Roger Dennis Self, DDS

NPI #1942341383 in Lufkin, Texas

Provider Information

NPI Number: 1942341383
Entity Type: Individual
Name: Roger Dennis Self, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 102 CHRISTIE
City: Lufkin
State: Texas
ZIP Code: 75904
Phone: (936) 634-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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