| Boger Dental | |
|
2720 Annapolis Circle Suite A Plymouth MN 55441 | |
| (763) 546-7707 | |
| (763) 546-7713 |
| Full Name | Boger Dental |
|---|---|
| Speciality | Dentist |
| Location | 2720 Annapolis Circle, Plymouth, Minnesota |
| Authorized Official Name and Position | Stephen P. Boger (PRESIDENT/OWNER) |
| Authorized Official Contact | 7635467707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boger Dental 2720 Annapolis Circle Suite A Plymouth MN 55441 Ph: (763) 546-7707 | Boger Dental 2720 Annapolis Circle Suite A Plymouth MN 55441 Ph: (763) 546-7707 |
| NPI Number | 1164758199 |
|---|---|
| Provider Enumeration Date | 10/27/2009 |
| Last Update Date | 10/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164758199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8092 (Minnesota) | Primary |
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