Larry T Hogge DDS PC

NPI #1245649409 in Logan, Utah

Provider Information

NPI Number: 1245649409
Entity Type: Organization
Organization Name: Larry T Hogge DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 12, 2014
Last Updated: Aug 12, 2014

Practice Location

Address: 1230 N 200 E
City: Logan
State: Utah
ZIP Code: 84341-2323
Phone: (435) 752-4134

Authorized Official

Name: LARRY HOGGE, DDS
Title: PRESIDENT
Phone: (435) 752-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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