Organization
JONATHAN RYAN ROGENMOSER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RYAN ROGENMOSER D.D.S. (OWNER/MEMBER)
(318) 445-0667
Entity
Organization
Contact information
Practice address
160 WINDERMERE BOULEVARD, ALEXANDRIA, LA 71303
(318) 445-0667
Mailing address
2994 MESSINA RD, BOYCE, LA 71409-9262
(318) 445-0667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6442
LA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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