Individual
DR. ROGER VANSANTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 E WASHINGTON ST, STAYTON, OR 97383-0455
(503) 769-6351
Mailing address
PO BOX 455, STAYTON, OR 97383-0455
(503) 581-7173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4785
OR
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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