Organization
LEO H. BOGER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO H. BOGER DDS (PRESIDENT)
(408) 286-3229
Entity
Organization
Contact information
Practice address
2074 FOREST AVE, SUITE 3, SAN JOSE, CA 95128-4811
(408) 286-3229
Mailing address
2074 FOREST AVE, SUITE 3, SAN JOSE, CA 95128-4811
(408) 286-3229
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18524
CA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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