Individual
BARRY WAYNE BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 S ZEDIKER AVE, PARLIER, CA 93648-2639
(559) 646-3561
(559) 646-6672
Mailing address
PO BOX 790, 650 ZEDIKER AVE., PARLIER, CA 93648-0790
(559) 646-6618
(559) 646-6614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44834
CALIFORNIA DENTAL LIC#
CA
Enumeration date
03/14/2007
Last updated
07/08/2007
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