Most Relevant Information
Provider Data
| NPI Number: | 1003812447 |
| Provider Name: | VICTOIRE BOGUI DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 044702-1 |
Most Important Dates
| Enumeration Date: | 06/21/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1770 GRAND CONCOURSE
BRONX
NY
104575524
Practice Location Phone/Fax
| Phone: | 7189018110 |
| Fax: | 7189018121 |
Provider Mailing Location
1770 GRAND CONCOURSE
BRONX
NY
104575524
Provider Mailing Phone/Fax
| Phone: | 7189018110 |
| Fax: | 7189018121 |