Jerry L. Boshell, D.m.d., P.c.

NPI #1083883722 in Jasper, Alabama

Provider Information

NPI Number
1083883722
Entity Type
Organization
Organization Name
Jerry L. Boshell, D.m.d., P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 27, 2008
Last Updated
Feb 27, 2008

Practice Location

Address
1606 6TH AVE S
City
Jasper
State
Alabama
ZIP Code
35501-4640
Phone
(205) 221-2330

Authorized Official

Name
DR. JERRY L. BOSHELL, D.M.D., PH.D.
Title
PRESIDENT
Phone
(205) 221-2330

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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