RUSSELL EDWARD BOGACKI

SPRINGFIELD, VA
NPI1083605943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401008712)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
Dr. RUSSELL EDWARD BOGACKI DDS
8344 TRAFORD LN SUITE 3D
SPRINGFIELD, VA 22152-1657
Phone number: 703-451-2867
Mailing Address
Dr. RUSSELL EDWARD BOGACKI DDS
8344 TRAFORD LN SUITE 3D
SPRINGFIELD, VA 22152-1657
Phone number: 703-451-2867