Individual
ROGER CHARLES DOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 RAMSGATE SQ S, SUITE 110, SALEM, OR 97302-5871
(503) 363-1712
(503) 363-4346
Mailing address
140 RAMSGATE SQ S, SUITE 110, SALEM, OR 97302-5871
(503) 363-1712
(503) 363-4346
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6497
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112784
—
OR
Enumeration date
08/19/2006
Last updated
07/09/2007
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