Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 13662 | MD |
NPI | 1003983156 |
---|---|
Provider Name | Dr. Rogan C Schneider |
First Address | Kensington, MD 20895-1060 |
Second Address | Kensington, MD 20895-1060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |