Organization
CASS AVENUE DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN H ROGERS DMD (OWNER)
(314) 531-5000
Entity
Organization
Contact information
Practice address
3610 CASS AVE, SAINT LOUIS, MO 63113-3702
(314) 531-5000
Mailing address
3610 CASS AVE, SAINT LOUIS, MO 63113-3702
(314) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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