Individual
DR. KYLE D BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7325 GOODING BLVD, DELAWARE, OH 43015-7086
(740) 548-1800
(740) 548-1804
Mailing address
7325 GOODING BLVD, DELAWARE, OH 43015-7086
(740) 548-1800
(740) 548-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022770
OH
Other
Enumeration date
06/25/2008
Last updated
10/13/2019
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