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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