Paul Henry Rogers, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Provo, UT

NPI

1043440357

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

7383180-9922 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2009-07-21

Last updated

2011-09-15