| Rogue Periodontics & Implant Dentistry | |
|
2930 E Barnett Rd Medford OR 97504-8309 | |
| (541) 779-4501 | |
| Not Available |
| Full Name | Rogue Periodontics & Implant Dentistry |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2930 E Barnett Rd, Medford, Oregon |
| Authorized Official Name and Position | Kyle Malloy (OWNER) |
| Authorized Official Contact | 2067184212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Periodontics & Implant Dentistry 2930 E Barnett Rd Medford OR 97504-8309 Ph: (541) 779-4501 | Rogue Periodontics & Implant Dentistry 2930 E Barnett Rd Medford OR 97504-8309 Ph: (541) 779-4501 |
| NPI Number | 1437836343 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437836343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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