Individual
MR. HARRY M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
962 1ST INFANTRY DIVISION RD, JORDAN DENTAL CLINIC BLDG 2724, FORT KNOX, KY 40121-5210
(502) 626-8301
(502) 626-8300
Mailing address
398 192ND ARMORED TANK BN RD, USA DENTAC HEADQUARTERS BLDG 1022, FORT KNOX, KY 40121-5116
(502) 624-6158
(502) 624-2966
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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