Bogacki, Russell Edward
Bogacki, Russell Edward is an individual health care provider with primary practice located at 8344 Traford Ln Suite 3D, Springfield VA 22152-1657. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bogacki, Russell Edward can be contacted via phone (703) 451-2867.Contact Information
Primary practice address
8344 Traford Ln Suite 3D
Springfield VA 22152-1657
Phone: (703) 451-2867
Fax: (703) 991-8448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401008712 | Virginia |
Profile Details
| NPI number | 1083605943 |
|---|---|
| LBN Legal business name | Bogacki, Russell Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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