Roger Nelson Warren, D.D.S. Valid NPI

Individual provider · Periodontics · Clifton, NJ

NPI

1396732293

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

DI0009492 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-05

Last updated

2007-07-08