Individual
DR. CAROLINE SKALLEY ROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4915 25TH AVE NE STE 205, SEATTLE, WA 98105-5668
(206) 524-1600
Mailing address
4915 25TH AVE NE STE 205, SEATTLE, WA 98105-5668
(206) 524-1600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
60940438
WA
Other
Enumeration date
03/27/2019
Last updated
04/02/2019
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