Individual
DR. ANGELA MICHELLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD,MS
Contact information
Practice address
18181 W 12 MILE RD, SUITE1, LATHRUP VILLAGE, MI 48076-2666
(248) 559-5554
(248) 553-3114
Mailing address
18181 W 12 MILE RD, SUITE1, LATHRUP VILLAGE, MI 48076-2666
(248) 559-5554
(248) 553-3114
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4632963
—
MI
Enumeration date
05/15/2007
Last updated
07/08/2007
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