Organization
ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC
Active
Other names
Advanced Smiles Marion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BOGAN DDS (SOLE MEMBER)
(740) 725-8080
Entity
Organization
Contact information
Practice address
1269 DELAWARE AVE, MARION, OH 43302-6419
(740) 725-8080
Mailing address
7325 GOODING BLVD, DELAWARE, OH 43015-7086
(740) 725-8080
(740) 548-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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