Individual
DR. BRANDON BOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2705 PELHAM PARKWAY, SUITE 200, PELHAM, AL 35124
(205) 664-4140
(205) 664-3234
Mailing address
2705 PELHAM PARKWAY, SUITE 200, PELHAM, AL 35124
(205) 664-4140
(205) 664-3234
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4684
AL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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