Individual
ROWAN FOGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3750 W GREENWAY RD, PHOENIX, AZ 85053-3703
(602) 466-2202
Mailing address
5627 W TONOPAH DR, GLENDALE, AZ 85308-9108
(406) 631-0117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012545
AZ
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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