Provider Demographics
NPI:1720287238
Name:ROGERS, REMY CHOI (DDS)
Entity type:Individual
Prefix:
First Name:REMY
Middle Name:CHOI
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 OLYMPIC DR STE B204
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1770
Mailing Address - Country:US
Mailing Address - Phone:253-853-3315
Mailing Address - Fax:
Practice Address - Street 1:5122 OLYMPIC DR STE B204
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1770
Practice Address - Country:US
Practice Address - Phone:253-853-3315
Practice Address - Fax:253-853-7093
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59379122300000X
WADE00011156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist