NPI | 1184338907 |
---|---|
Doing Business As | ROGERS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | TY JUSTICE Director, Credentialing & Provider 513-808-4984 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-01-06 |
Last Update Date | 2023-01-06 |