Individual
DARLENE BOGENPOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(417) 625-3078
Mailing address
7914 COUNTY LANE 287, CARL JUNCTION, MO 64834-6214
(417) 625-9600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2019038938
MO
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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