DR. Johnathon Bogard

NPI #1528629664 in Abilene, Texas

Provider Information

NPI Number
1528629664
Entity Type
Individual
Name
DR. Johnathon Bogard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 27, 2019
Last Updated
Jun 27, 2019

Practice Location

Address
4601 BUFFALO GAP RD STE D1
State
Texas
ZIP Code
79606-3364
Phone
(325) 695-3300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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