Individual
DR. JEFFREY BOOGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31393 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2297
(248) 539-3088
(248) 539-2970
Mailing address
31393 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2297
(248) 539-3088
(248) 539-2970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901019344
LICENSE NUMBER
MI
Enumeration date
11/07/2006
Last updated
09/22/2020
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