Organization
ROLLAND ROGERS DDS ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILIA ROGERS (ADMINISTRATOR)
(917) 912-7139
Entity
Organization
Contact information
Practice address
10850 71ST AVE STE 1G, FOREST HILLS, NY 11375-4524
(718) 268-3666
(718) 268-7785
Mailing address
10850 71ST AVE STE 1G, FOREST HILLS, NY 11375-4524
(718) 268-3666
(718) 268-7785
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056612
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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