Individual
DR. ROGER KENT EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
325 NE 6TH ST, MCMINNVILLE, OR 97128-4702
(503) 472-6182
(503) 472-8366
Mailing address
325 NE 6TH ST, MCMINNVILLE, OR 97128-4702
(503) 472-6182
(503) 472-8366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4931
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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