Most Relevant Information
Provider Data
| NPI Number: | 1003820598 |
| Provider Name: | ALAN MARK ROGOL |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 12125 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
230 SCHOOL ST
WALPOLE
MA
020812806
Practice Location Phone/Fax
| Phone: | 5086681320 |
| Fax: | 5086681320 |
Provider Mailing Location
230 SCHOOL ST
WALPOLE
MA
020812806
Provider Mailing Phone/Fax
| Phone: | 5086681320 |
| Fax: | 5086681320 |