Individual
DR. ROGER JOHN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 W MCLANE, OSCEOLA, IA 50213-1511
(641) 342-6648
Mailing address
320 W MCLANE, OSCEOLA, IA 50213-1511
(641) 342-6648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6885
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204792
—
IA
01
—
204792
DELTA DENTAL
IA
Enumeration date
11/14/2006
Last updated
07/08/2007
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