Individual
DR. KRISTINA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3900
Mailing address
3652 N 250 W, PROVO, UT 84604-4428
(801) 691-6936
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9084024-9922
UT
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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