Individual
DR. KANWAR SINGH BHOGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9015 N 3RD ST, PHOENIX, AZ 85020-2444
(480) 882-4545
(602) 714-3755
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8658
AZ
1223G0001X
General Practice Dentistry
Primary
D008658
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911243
—
AZ
Enumeration date
03/12/2013
Last updated
11/17/2023
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