Individual
DR. GEORGIA GRACE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
6455 MACHINE STREET, APG DENTAL CLINIC, ABERDEEN PROVING GROUND, MD 21005
(410) 278-1795
Mailing address
6455 MACHINE STREET, APG DENTAL CLINIC, ABERDEEN PROVING GROUND, MD 21005
(410) 278-1795
(410) 278-5577
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DS-028395-L
PA
1223G0001X
General Practice Dentistry
Primary
DS-028395-L
PA
Other
Enumeration date
08/17/2006
Last updated
08/23/2018
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