Individual
MR. BRIAN CARL BOGBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
622 WEST DUARTE ROAD, 201, ARCADIA, CA 91007-9271
(626) 446-3153
Mailing address
622 WEST DUARTE ROAD, 201, ARCADIA, CA 91007-9271
(626) 446-3153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D19854
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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