Individual
DR. ROGER K SHIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3099 CENTRAL AVE, LAKE STATION, IN 46405-2207
(219) 763-8112
(219) 764-5384
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011455A
IN
Other
Enumeration date
06/03/2010
Last updated
05/26/2016
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