Individual
DR. BILLY L OGBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
66 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-0716
(573) 335-4944
Mailing address
66 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-0716
(573) 335-4944
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
10564
MO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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