Individual
DR. BRIAN K BOGARDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2365 NW STEWART PKWY, ROSEBURG, OR 97471-5653
(503) 952-2164
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9170
OR
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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