Bogdon Dental Corp | |
523 E Glenoaks Blvd Glendale CA 91207-2015 | |
(818) 243-5227 | |
(818) 409-9261 |
Full Name | Bogdon Dental Corp |
---|---|
Speciality | Dentist - General Practice |
Location | 523 E Glenoaks Blvd, Glendale, California |
Authorized Official Name and Position | Kevin M Bogdon (OWNER DENTIST) |
Authorized Official Contact | 6267555245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bogdon Dental Corp 523 E Glenoaks Blvd Glendale CA 91207-2015 Ph: (818) 243-5227 | Bogdon Dental Corp 523 E Glenoaks Blvd Glendale CA 91207-2015 Ph: (818) 243-5227 |
NPI Number | 1285357442 |
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Provider Enumeration Date | 09/22/2022 |
Last Update Date | 09/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285357442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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