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Dr. Roger Anthony Khater, D.D.S.

Dentist, General Practice in Fresno, CA. Individual provider (NPI-1).

NPI number1265664262
StatusActive
Last updated in NPPESAug 10, 2009

Details

NPI
1265664262
Entity type
Individual (NPI-1)
Name
Dr. Roger Anthony Khater
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 10, 2009
Last updated
Aug 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice58608CAYes

Practice location

5671 N Palm Ave
Fresno, CA 93704-1826

Phone 559-252-7600

Mailing address

5671 N Palm Ave
Fresno, CA 93704-1826

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