DR. Brian K Bogardus, DMD

NPI #1740439165 in Roseburg, Oregon

Provider Information

NPI Number: 1740439165
Entity Type: Individual
Name: DR. Brian K Bogardus, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 9, 2008
Last Updated: Sep 9, 2008

Practice Location

Address: 2365 NW STEWART PKWY
City: Roseburg
State: Oregon
ZIP Code: 97471-5653
Phone: (503) 952-2164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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