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Individual

DR. BRIAN P HOGAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225
Mailing address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN2276
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2276
DELTA DENTAL RI PROVIDER
RI
Enumeration date
12/13/2005
Last updated
07/09/2007
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