Individual
ADRIAN MICHAEL VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
256 N SAN MATEO DR, SUITE 1, SAN MATEO, CA 94401-2624
(650) 343-3603
Mailing address
256 N SAN MATEO DR, SUITE 1, SAN MATEO, CA 94401-2624
(650) 343-3603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40508
CA
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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