| Bogacki & Bogacki DDS PC | |
|
8344 Traford Ln Springfield VA 22152-1657 | |
| (703) 451-2867 | |
| (703) 991-8448 |
| Full Name | Bogacki & Bogacki DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8344 Traford Ln, Springfield, Virginia |
| Authorized Official Name and Position | Russell Edward Bogacki (PRESIDENT) |
| Authorized Official Contact | 7034512867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogacki & Bogacki DDS PC 8344 Traford Ln Springfield VA 22152-1657 Ph: (703) 451-2867 | Bogacki & Bogacki DDS PC 8344 Traford Ln Springfield VA 22152-1657 Ph: (703) 451-2867 |
| NPI Number | 1730391475 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730391475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008712 (Virginia) | Primary |
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