Individual
DR. C. BRADFORD ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 RAILROAD AVE, SWAMPSCOTT, MA 01907-1839
(781) 596-2477
Mailing address
25 RAILROAD AVE, SWAMPSCOTT, MA 01907-1839
(781) 596-2477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17746
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17746
DENTAL LISENCE
MA
Enumeration date
02/11/2009
Last updated
02/11/2009
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