# BOGDAN N BODROUG, DDS, PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Quality Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972941094
- **Authorized official:** MRS. JILLIAN N GOOD-BODROUG RDA (ADMINISTRATOR)
- **Authorized official phone:** (503) 490-1275

## Contact information

- **Practice address:** 2701 NE 114TH AVE, SUITE 6, VANCOUVER, WA 98684-4289
- **Practice address phone:** (503) 427-2984
- **Mailing address:** 2701 NE 114TH AVE, SUITE 6, VANCOUVER, WA 98684-4289
- **Mailing address phone:** (503) 427-2984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00010445 | WA | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 06/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2001307 | — | WA |