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Organization
THEODORA KK ROGERS, DDS, PC
Active
Organization
THEODORA KK ROGERS, DDS, PC
Active
Other names
Gray Duck Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEDDY KK ROGERS DDS (DIRECTOR)
(816) 572-1973
Entity
Organization
Contact information
Practice address
1000 BLUFF ST, FULTON, MO 65251-2321
(573) 642-7234
Mailing address
505 PREAKNESS DR, RAYMORE, MO 64083-8472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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