Individual
COLLEEN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIAL HYGIENIST
Contact information
Practice address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 961-4088
(707) 961-4019
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 961-4088
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11615
CA
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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