Individual
DR. ROGER JAMES SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1215 NE 7TH ST, SUITE A, GRANTS PASS, OR 97526-1450
(541) 479-6625
Mailing address
1215 NE 7TH ST, SUITE A, GRANTS PASS, OR 97526-1450
(541) 479-6625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 4558
OR
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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