Organization
BELLINGHAM ORAL SURGERY AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY J BOGARD D.M.D (PRESIDENT)
(360) 990-0039
Entity
Organization
Contact information
Practice address
192 E BAKERVIEW RD, SUITE 101, BELLINGHAM, WA 98226-8179
(360) 990-0039
Mailing address
8012 72ND DR NE, MARYSVILLE, WA 98270-7890
(360) 990-0039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DE00008501
WA
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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