Individual
DR. CLARENCE-AUSTIN JOSIAH HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 LENTZ DR, MADISON, TN 37115-5135
(615) 678-1051
Mailing address
1031 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12163
TN
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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