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Individual

DR. MARK STEVEN BOGDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11919 WEST SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001-1899
(509) 244-6840
Mailing address
3303 S BERNARD ST, SPOKANE, WA 99203-1635
(509) 456-5952

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
33022
CA
122300000X
Dentist
Primary
DE 00007296
WA

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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