Individual
DR. AMANDA JO BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1309 GREENE ST, MARIETTA, OH 45750-9172
(740) 374-0123
Mailing address
109 MISSION RD, MARIETTA, OH 45750-9435
(614) 668-7915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026861
OH
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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