Individual
JOHN PHILLIP BOGUE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5950 AIRPORT HIGHWAY SUITE 10, TOLDEO, OH 43615
(419) 867-9839
(419) 867-6996
Mailing address
9165 SOUTH RIVER ROAD, WATERVILLE, OH 43566-9700
(419) 878-7332
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30019869
OH
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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