Individual provider · Type 1 NPI

Owen Jan Rogal, DDS

Specialist · Philadelphia, PA

NPI number 1396932745 Active

Practice location

501-7 South 12th Street
Philadelphia, PA 19147-1101

Call (215) 545-2100 Map

Fax (215) 923-1012

Mailing address

501-507 South 12th Street
Philadelphia, PA 19147-1101

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XDS016039L (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396932745

Owen Jan Rogal, DDS's National Provider Identifier is 1396932745, issued on Oct 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 2, 2007.