Individual
DR. ROBERT KEITH BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8349
Mailing address
88TH MDG/SGD, 4881 SUGAR MAPLE DR, WPAFB, OH 45433
(937) 257-6529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011682
GA
Other
Enumeration date
11/03/2005
Last updated
09/18/2020
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