Individual
DR. ANGELIQUE L RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
876 BUFORD RD, CUMMING, GA 30041-2716
(470) 990-8700
Mailing address
4870 COLLINS LAKE DR, MABLETON, GA 30126-1795
(404) 394-5311
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN1000830
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN010854
GA
Other
Enumeration date
06/06/2007
Last updated
10/29/2022
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