Individual
DONNIE WAYNE ROOKSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1630 45TH AVE, MUNSTER, IN 46321-3963
(219) 924-1440
(219) 922-8856
Mailing address
1630 45TH AVE, MUNSTER, IN 46321-3963
(219) 924-1440
(219) 922-8856
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12007014A
IN
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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