Dr. Richard Paul Rog, DMD
Dentist, Oral and Maxillofacial Surgery in Eureka, CA. Individual provider (NPI-1).
NPI number1346355948
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346355948
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Paul Rog
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 1338592 | CA | Yes |
Practice location
2458 Buhne StEureka, CA 95501
Phone 707-443-8684 · Fax 707-443-1831
Mailing address
2458 Buhne StEureka, CA 95501
Phone 707-443-8684 · Fax 707-443-1831
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