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Organization
CARROLL DENTAL CLINIC P.L.C.
Active
Organization
CARROLL DENTAL CLINIC P.L.C.
Active
Other names
Lake View Family Dentistry & Manilla Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WILLIAM BOGUE P.C. DDS (DENTIST)
(712) 792-4375
Entity
Organization
Contact information
Practice address
703 SIMON AVE, CARROLL, IA 51401-2264
(712) 792-4375
(712) 792-3371
Mailing address
703 SIMON AVE, PO BOX 997, CARROLL, IA 51401-2264
(712) 792-4375
(712) 792-3371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
12/08/2015
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