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Organization

MADISON DENTAL ASSOCIATES

Active
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Organization

MADISON DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLINT A ROGERS DMD (OWNER)
(850) 973-6621
Entity
Organization

Contact information

Practice address
189 SW CAPTAIN BROWN RD, MADISON, FL 32340-4351
(850) 973-6621
(850) 973-6672
Mailing address
189 SW CAPTAIN BROWN RD, MADISON, FL 32340-4351
(850) 973-6621
(850) 973-6672

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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