DR. Russell Edward Bogacki, DDS
NPI #1083605943 in Springfield, Virginia
Provider Information
- NPI Number
- 1083605943
- Entity Type
- Individual
- Name
- DR. Russell Edward Bogacki, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8344 TRAFORD LN
- Address 2
- SUITE 3D
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-1657
- Phone
- (703) 451-2867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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