Individual
DR. BENIAMIN BOGDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20673 SW ROY ROGERS RD STE 201, SHERWOOD, OR 97140-9222
(503) 395-0210
Mailing address
5933 SE LOIS ST, HILLSBORO, OR 97123-7580
(312) 447-4121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.029277
IL
122300000X
Dentist
Primary
D10090
OR
Other
Enumeration date
10/01/2012
Last updated
04/09/2015
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