Individual
DR. RICHARD PAUL ROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2458 BUHNE ST, EUREKA, CA 95501
(707) 443-8684
(707) 443-1831
Mailing address
2458 BUHNE ST, EUREKA, CA 95501
(707) 443-8684
(707) 443-1831
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1338592
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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