Individual
DR. BO G HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
900 MERCHANTS CONCOURSE, SUITE LL8, WESTBURY, NY 11590-5142
(516) 683-9100
(516) 683-1232
Mailing address
234 PRAIRIE DR, NORTH BABYLON, NY 11703-1002
(631) 338-0118
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
051606
NY
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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