| Advanced Smiles Marion, Kyle D Bogan, Dds, Llc | |
|
1269 Delaware Ave Marion OH 43302-6419 | |
| (740) 725-8080 | |
| Not Available |
| Full Name | Advanced Smiles Marion, Kyle D Bogan, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1269 Delaware Ave, Marion, Ohio |
| Authorized Official Name and Position | Kyle Bogan (SOLE MEMBER) |
| Authorized Official Contact | 7407258080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Smiles Marion, Kyle D Bogan, Dds, Llc 7325 Gooding Blvd Delaware OH 43015-7086 Ph: (740) 725-8080 | Advanced Smiles Marion, Kyle D Bogan, Dds, Llc 1269 Delaware Ave Marion OH 43302-6419 Ph: (740) 725-8080 |
| NPI Number | 1972260800 |
|---|---|
| Provider Enumeration Date | 11/28/2021 |
| Last Update Date | 11/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972260800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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