Individual
DR. MARK ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1678 LIBERTY ST SE, SUITE 101, SALEM, OR 97302-4348
(503) 362-1515
(503) 316-3929
Mailing address
1678 LIBERTY ST SE, SUITE 101, SALEM, OR 97302-4348
(503) 362-1515
(503) 316-3929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6365
OR
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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