Individual
DR. DAVID RICHARD ROGOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 MAPLE AVE W, SUITE M, VIENNA, VA 22180-4307
(703) 281-1090
Mailing address
307 MAPLE AVE W, SUITE M, VIENNA, VA 22180-4307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006866
VA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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