Individual
DR. EMERSON JEFFREY BOOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11380 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-5905
(239) 221-7402
Mailing address
3401 LANA CT, FORT MYERS, FL 33905-5694
(801) 857-1786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24215
FL
Other
Enumeration date
06/07/2019
Last updated
12/08/2021
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