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Individual
SARA R ROGERS
Active
Individual
SARA R ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8867
KY
1223G0001X
General Practice Dentistry
Primary
8867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100139410
—
KY
Enumeration date
06/08/2010
Last updated
05/03/2016
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