Individual
MRS. EMILY J BOGE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BS MPA
Contact information
Practice address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(319) 231-1193
Mailing address
13151 KRAMER RD, FARLEY, IA 52046-8439
(319) 231-1193
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03116
IA
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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