Individual
DR. JONATHAN RYAN ROGENMOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
Mailing address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6442
LA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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