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1104010255
MICHAEL BRUCE HOGAN
CAMDENTON, MO
NPI
1104010255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: MO 012009)
Enumeration Date
2007-08-31
Last Update Date
2007-08-31
Business Address
-- MICHAEL BRUCE HOGAN DDS
108 CECIL ST STE G
CAMDENTON, MO 65020-7066
Phone number: 573-317-1473
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Mailing Address
-- MICHAEL BRUCE HOGAN DDS
108 CECIL ST STE G
CAMDENTON, MO 65020-7066
Phone number: 573-317-1473
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