Individual
DR. ROGER WHITMAN KOLARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E TILDEN ST, POSTVILLE, IA 52162
(563) 864-7818
(563) 864-7685
Mailing address
PO BOX 635, POSTVILLE, IA 52162
(563) 864-7818
(563) 864-7685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6515
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169227
—
IA
Enumeration date
10/04/2006
Last updated
07/08/2007
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