Individual
DR. DAVID S BOGENSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
1025 W GLEN OAKS LN, STE 212, MEQUON, WI 53092-3370
(262) 241-3150
(262) 241-3126
Mailing address
1025 W GLEN OAKS LN, STE 212, MEQUON, WI 53092-3370
(262) 241-3150
(262) 241-3126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4778-015
WI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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