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Individual

LLOYD BOGGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
617 DELZAN PL, LEXINGTON, KY 40503-3503
(859) 224-4224
Mailing address
617 DELZAN PL, LEXINGTON, KY 40503-3503
(859) 224-4224

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5892
KY

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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