Individual
DAVID BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1924D DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 478-1183
(251) 478-1125
Mailing address
1924D DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 478-1183
(251) 478-1125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011460
AL
Other
Enumeration date
12/01/2008
Last updated
01/20/2009
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