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Individual
DAVID BOGAN
Active
Individual
DAVID BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011460
AL
Other
Enumeration date
12/01/2008
Last updated
01/20/2009
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