Individual
DR. ROGER D. STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
102 E MAIN ST, NORWALK, OH 44857-1821
(419) 663-0070
(419) 499-4993
Mailing address
102 E MAIN ST, NORWALK, OH 44857-1821
(419) 663-0070
(419) 499-4993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30020781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30020781
STATE DENTAL LICENSE #
OH
Enumeration date
10/10/2006
Last updated
11/27/2019
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