Individual
DR. ROGER KENT COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1790 32ND AVE S, FARGO, ND 58103-5942
(701) 232-0774
(701) 232-1158
Mailing address
10159 IDA OAKS RD, PELICAN RAPIDS, MN 56572-9317
(218) 532-2171
(218) 532-2171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1793
ND
Other
Enumeration date
08/03/2006
Last updated
10/13/2015
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