Individual
DR. ROGER C STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1524 WHITE BEAR AVENUE NORTH, ST PAUL, MN 55106-1694
(651) 776-1597
(651) 776-4045
Mailing address
1524 WHITE BEAR AVENUE NORTH, ST PAUL, MN 55106-1694
(651) 776-1597
(651) 776-4045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9946
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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