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Individual

KATHLEEN A ROGERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1335 GUSDORF RD, SUITE A, TAOS, NM 87571-5204
(505) 751-9333
(505) 737-0483
Mailing address
1335 GUSDORF RD, SUITE A, TAOS, NM 87571-5206
(505) 751-9333
(505) 737-0483

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1823
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09258566
NM
05
A9017
NM
Enumeration date
02/02/2006
Last updated
07/09/2007
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