DR. Scott Marlin Bosacker, D.D.S

NPI #1154491496 in Lake Mills, Iowa

Provider Information

NPI Number: 1154491496
Entity Type: Individual
Name: DR. Scott Marlin Bosacker, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Nov 8, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 206 E MAIN ST
City: Lake Mills
State: Iowa
ZIP Code: 50450-1410
Phone: (641) 592-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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