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Individual

DR. CLAYTON LEA ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1203 NW MAYNARD RD STE 1A, CARY, NC 27513-8720
(919) 230-7692
Mailing address
417 W PEACE ST APT 912, RALEIGH, NC 27603-5048
(330) 480-3195

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
260176
NC
390200000X
Student in an Organized Health Care Education/Training Program
OH

Other

Enumeration date
04/27/2016
Last updated
02/22/2022
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