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1700011806
JOSH IDEN ROGOFF
SANTA FE, NM
NPI
1700011806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NM DD4002)
Enumeration Date
2009-05-19
Last Update Date
2013-12-31
Business Address
DR. JOSH IDEN ROGOFF D.M.D.
400 BOTULPH LN
SANTA FE, NM 87505-6911
Phone number: 505-988-3500
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Mailing Address
DR. JOSH IDEN ROGOFF D.M.D.
400 BOTULPH LN
SANTA FE, NM 87505-6911
Phone number: 505-988-3500
Copy
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