| NPI | 1568677474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H BOGARD General Dentistry 207-439-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WV 2620) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |