MEDICARE: DR. KINGA ROGOWSKA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN14932	FL

General Provider Information

NPI Number	:	1144325382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KINGA ROGOWSKA D.D.S.

Provider Business Mailing Address
First Line	:	3872 SHERIDAN ST
Second Line	:	A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-961-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3872 SHERIDAN ST
Second Line	:	A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-961-4300
Fax Number	:	954-986-8528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/13/2014

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