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Randy J. Bogard, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Marysville, Washington
NPI 1720153257

Randy J. Bogard is a Oral and Maxillofacial Surgery (Dentist) based in Marysville, WA and is specialized in Oral and Maxillofacial Surgery. Randy J. Bogard practices in Marysville, WA and has the professional credentials of DMD,MD. The NPI Number for Randy J. Bogard is 1720153257 and holds a License No. 2003018519 (Washington).

The current practice location address for Randy J. Bogard is 1809 4Th St, Marysville, WA and can be reached out via phone at 360-653-1114 and via fax at 360-653-5509.

Location: 1809 4Th St, Marysville, WA, 98270-5021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720153257
Provider Name
Randy J. Bogard
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
1809 4Th St, Marysville, WA, 98270-5021
Phone Number
360-653-1114
Fax Number
360-653-5509
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1809 4Th St
City
Marysville
State
Washington
Zip
98270-5021
Phone Number
360-653-1114
Fax Number
360-653-5509
person
Provider Business Mailing Address Details
Address
1809 4Th St
City
Marysville
State
Washington
Zip
98270-5021
Phone Number
360-653-1114
Fax Number
360-653-5509
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2003018519 (Missouri)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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