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Individual

DR. ROGER ALAN WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. M. D.

Contact information

Practice address
513 W COMMERCE ST, ABERDEEN, MS 39730-2543
(662) 369-2063
(662) 369-2076
Mailing address
PO BOX 212, ABERDEEN, MS 39730-0212
(662) 369-2063
(662) 369-2076

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1860-79
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00064708
MS
Enumeration date
10/10/2006
Last updated
09/24/2012
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