Organization
KENNETH A MOGELL DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A MOGELL DMD (PRESIDENT)
(772) 882-6800
Entity
Organization
Contact information
Practice address
3735 11TH CIR, STE 105, VERO BEACH, FL 32960-4844
(772) 882-6800
(772) 882-6802
Mailing address
2900 N MILITARY TRL STE 212, BOCA RATON, FL 33431-6308
(561) 394-9000
(561) 988-1102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10118
FL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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