Individual
DR. OWEN JAN ROGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501-7 SOUTH 12TH STREET, PHILADELPHIA, PA 19147-1101
(215) 545-2100
(215) 923-1012
Mailing address
501-507 SOUTH 12TH STREET, PHILADELPHIA, PA 19147-1101
(215) 545-2100
(215) 923-1012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DS016039L
PA
Other
Enumeration date
10/01/2007
Last updated
10/02/2007
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