| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLI ELIZABETH HOGAN | 1598348112 | 2021-05-02 |
Carli Elizabeth Hogan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598348112. Registration indicates Carli Elizabeth Hogan is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Carli Elizabeth Hogan DDS |
| Practice Office Address | 1601 RIVER DR STE 300 MOLINE, IL US |
| Practice Office Telephone | 3092370272 |
| Mailing Address | 4321 42ND AVENUE CT ROCK ISLAND, IL 612019220 US |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 019.033549
IL |