Individual
DR. ROGER J GOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1605 POST RD, PLOVER, WI 54467-2636
(715) 341-7665
Mailing address
3217 ALDER ST, STEVENS POINT, WI 54481-5573
(715) 295-9744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4175-015
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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