Organization
NORTH ORANGE FAMILY DENTISTRY, KYLE D. BOGAN, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DEAN BOGAN DDS (OWNER/SOLE MEMBER)
(740) 548-1800
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/21/2012
Last updated
04/26/2021
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