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Organization
THERESE M. BOGS, D.D.S., LTD.
Active
Organization
THERESE M. BOGS, D.D.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE MARIE BOGS DDS (PRESIDENT)
(708) 534-9700
Entity
Organization
Contact information
Practice address
5601 W MONEE MANHATTAN RD STE 117, MONEE, IL 60449-8866
(708) 534-9700
(708) 534-9228
Mailing address
26634 S WINFIELD RD, MONEE, IL 60449-9220
(708) 534-7818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-022073
IL
Other
Enumeration date
01/28/2009
Last updated
03/27/2013
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