Individual
DR. THOMAS MICHAEL BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2919 VALMONT ROAD, SUITE 105, BOULDER, CO 80301
(303) 447-1122
(303) 447-1122
Mailing address
2919 VALMONT ROAD, SUITE #105, BOULDER, CO 80301
(303) 447-1122
(303) 447-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD10-6843
CO
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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