Individual
DR. GEORGE BOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
321 N LARCHMONT BLVD, STE 721, LOS ANGELES, CA 90004
(323) 465-3116
(323) 465-5276
Mailing address
321 N LARCHMONT BLVD, STE 721, LOS ANGELES, CA 90004
(323) 465-3116
(323) 465-5276
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27238
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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