Organization · Type 2 NPI
Theodora KK Rogers, Dds, PC
Dental Clinic/Center · Fulton, MO
NPI number
1013369115
Active
Practice location
1000 Bluff St
Fulton, MO 65251-2321
Mailing address
505 Preakness Dr
Raymore, MO 64083-8472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Fulton
About NPI 1013369115
Theodora KK Rogers, Dds, PC's National Provider Identifier is 1013369115, issued on Jul 13, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fulton, MO. The record was last updated on Jul 13, 2016.