| NPI | 1013783117 |
|---|---|
| Doing Business As | BOGEY HILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDON POLLARD Owner 636-946-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |