Organization
KENNETH B ROGERS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BENJAMINE ROGERS DMD (DIRECTOR)
(863) 293-0636
Entity
Organization
Contact information
Practice address
1550 1ST ST S, WINTER HAVEN, FL 33880-4306
(863) 293-0636
(863) 293-2479
Mailing address
1550 1ST ST S, WINTER HAVEN, FL 33880-4306
(863) 293-0636
(863) 293-2479
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN11515
FL
Other
Enumeration date
11/30/2005
Last updated
08/22/2020
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