DR. Matthew James Boscia, D.M.D
NPI #1043540552 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1043540552
- Entity Type
- Individual
- Name
- DR. Matthew James Boscia, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Jan 5, 2010
- Last Updated
- Dec 4, 2018
Practice Location
- Address
- 15 LAKESIDE DR
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-1378
- Phone
- (636) 625-1225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Dentist - General Practice — General Practice |
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