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Individual
DR. KRISTIN DENISE ROGERS
Active
Individual
DR. KRISTIN DENISE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029556
IL
122300000X
Dentist
31907
TX
1223P0300X
Periodontics
019029556
IL
1223P0300X
Periodontics
Primary
31907
TX
Other
Enumeration date
02/26/2013
Last updated
09/06/2016
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