RANDY J. BOGARD

MARYSVILLE, WA
NPI1720153257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO  2003018519)
Enumeration Date2006-11-21
Last Update Date2009-08-21
Business Address
-- RANDY J. BOGARD DMD, MD
1809 4TH ST
MARYSVILLE, WA 98270-5021
Phone number: 360-653-1114
Mailing Address
-- RANDY J. BOGARD DMD, MD
1809 4TH ST
MARYSVILLE, WA 98270-5021
Phone number: 360-653-1114