Organization
WALKER SQUARE DENTAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERND JAMES ROGGE DDS (PRESIDENT)
(302) 736-1423
Entity
Organization
Contact information
Practice address
838 WALKER RD STE 21-1, DOVER, DE 19904-2751
(302) 736-1423
(302) 736-5538
Mailing address
838 WALKER RD STE 21-1, DOVER, DE 19904-2751
(302) 736-1423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
G1-0000987
DE
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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