Individual
DR. ROGER R. DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
PO BOX J, FORT YATES, ND 58538-0527
(701) 854-3831
Mailing address
PO BOX J, FORT YATES, ND 58538-0527
(701) 854-3831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141733-9921
UT
Other
Enumeration date
02/27/2006
Last updated
03/27/2012
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