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Individual

MATTHEW VOGT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1375 S LEBANON ST STE 200, LEBANON, IN 46052-2951
(765) 484-8951
(844) 399-0385
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2132
(844) 399-0385

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012701A
IN

Other

Enumeration date
05/24/2017
Last updated
05/24/2017
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