Organization
EARL BOGROW DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL K. BOGROW DDS (PRESIDENT OWNER)
(248) 827-1900
Entity
Organization
Contact information
Practice address
28411 NORTHWESTERN HWY STE 230, SOUTHFIELD, MI 48034-5548
(248) 827-1900
(248) 827-0949
Mailing address
28411 NORTHWESTERN HWY, STE 225, SOUTHFIELD, MI 48034-5508
(248) 827-1900
(248) 827-0949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
L1376041
MI
335E00000X
Prosthetic/Orthotic Supplier
L1376041
MI
Other
Enumeration date
09/28/2010
Last updated
09/25/2023
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