Individual
DR. ROGER LEE CLOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4400 WARREN SHARON RD, VIENNA, OH 44473-9644
(330) 394-1672
(330) 394-1376
Mailing address
4400 WARREN SHARON RD, VIENNA, OH 44473-9644
(330) 394-1672
(330) 394-1376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.013257
OH
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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