Advanced Smiles Marion, Kyle D Bogan, Dds, LLC

NPI #1972260800 in Marion, Ohio

Provider Information

NPI Number: 1972260800
Entity Type: Organization
Organization Name: Advanced Smiles Marion, Kyle D Bogan, Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2021
Last Updated: Nov 28, 2021

Practice Location

Address: 1269 DELAWARE AVE
City: Marion
State: Ohio
ZIP Code: 43302-6419
Phone: (740) 725-8080

Authorized Official

Name: DR. KYLE BOGAN, DDS
Title: SOLE MEMBER
Phone: (740) 725-8080

Specialties & Taxonomy Codes

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

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