Individual
EVA L HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MUDR DDS MS
Contact information
Practice address
11980 SAN VICENTE BLVD, 503, LOS ANGELES, CA 90049
(310) 966-9444
(310) 820-4585
Mailing address
11980 SAN VICENTE BLVD, 503, LOS ANGELES, CA 90049
(310) 966-9444
(310) 820-4585
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS45113
CA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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