Individual
DR. MICHAEL BRUCE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3545 WHEELER ROAD, AUGUSTA, GA 30909
(706) 733-1182
(706) 738-1514
Mailing address
3545 WHEELER ROAD, AUGUSTA, GA 30909
(706) 733-1182
(706) 738-1514
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN007479
GA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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