Individual
MICHAEL STEWART BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 NORTH BRYAN STREET, HICKSVILLE, OH 43526
(419) 542-7748
(419) 542-7748
Mailing address
106 NORTH BRYAN STREET, HICKSVILLE, OH 43526
(419) 542-7748
(419) 542-7748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007974A
IN
122300000X
Dentist
Primary
30016857
OH
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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