Individual
DR. KEITH M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 S 63RD STREET, SUITE 1, MESA, AZ 85206-1605
(480) 830-5100
(480) 854-0751
Mailing address
55 S 63RD STREET, SUITE 1, MESA, AZ 85206-1605
(480) 830-5100
(480) 854-0751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ4750
AZ
Other
Enumeration date
02/09/2007
Last updated
10/09/2020
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