Individual
DR. ROGER RANGARAJAN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
549 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 252-6438
Mailing address
549 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 252-6438
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17114
FL
Other
Enumeration date
01/11/2006
Last updated
01/20/2012
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