Individual
LESLEE ROGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8579 IVOR ROAD, IVOR, VA 23866
(757) 859-9070
Mailing address
8579 IVOR ROAD, IVOR, VA 23866
(757) 859-9070
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402207706
VA
Other
Enumeration date
03/06/2020
Last updated
02/02/2023
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