| Jonathan Ryan Rogenmoser Dds Llc | |
|
160 Windermere Boulevard Alexandria LA 71303 | |
| (318) 445-0667 | |
| Not Available |
| Full Name | Jonathan Ryan Rogenmoser Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 160 Windermere Boulevard, Alexandria, Louisiana |
| Authorized Official Name and Position | Jonathan Ryan Rogenmoser (OWNER/MEMBER) |
| Authorized Official Contact | 3184450667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Ryan Rogenmoser Dds Llc 2994 Messina Rd Boyce LA 71409-9262 Ph: (318) 445-0667 | Jonathan Ryan Rogenmoser Dds Llc 160 Windermere Boulevard Alexandria LA 71303 Ph: (318) 445-0667 |
| NPI Number | 1104205905 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104205905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6442 (Louisiana) | Primary |
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