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Individual
ELIAS BOGALE
Active
Individual
ELIAS BOGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS043979
PA
1223E0200X
Endodontics
Primary
DN27808
FL
1223G0001X
General Practice Dentistry
DN27808
FL
Other
Enumeration date
05/02/2022
Last updated
06/26/2025
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