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Organization

MICHAEL B. ROGERS DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BRUCE ROGERS D.D.S (OWNER/DENTIST)
(703) 671-1001
Entity
Organization

Contact information

Practice address
4850 31ST ST S, SUITE A, ARLINGTON, VA 22206-1658
(703) 671-1001
(703) 820-4921
Mailing address
4850 31ST ST S, SUITE A, ARLINGTON, VA 22206-1658
(703) 671-1001
(703) 820-4921

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007590
VA

Other

Enumeration date
11/22/2016
Last updated
11/22/2016
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