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Individual

DR. CURTIS DUANE BOGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1127 S AUSTIN AVE, DENISON, TX 75020-6350
(903) 463-3443
(903) 465-1134
Mailing address
1127 S AUSTIN AVE, DENISON, TX 75020-6350
(903) 463-3443
(903) 465-1134

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12098
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
825139
UNITED CONCORDIA PROVIDER
TX
01
D12098
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/20/2006
Last updated
07/08/2007
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