John E. Bosak, Jr., Dmd, a Professional Dental Corporation

NPI #1194162446 in Granada Hills, California

Provider Information

NPI Number
1194162446
Entity Type
Organization
Organization Name
John E. Bosak, Jr., Dmd, a Professional Dental Corporation
Primary Specialty
Dentist
Enumeration Date
May 28, 2013
Last Updated
May 28, 2013

Practice Location

Address
10727 WHITE OAK AVE
Address 2
SUITE 213
ZIP Code
91344-4631
Phone
(818) 368-5676

Authorized Official

Name
DR. JOHN EUGENE BOSAK JR., DMD
Title
PRESIDENT
Phone
(818) 368-5676

Specialties & Taxonomy Codes

Specialty
Dentist

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