Kellen Bosma, D.M.D.

NPI #1407288830 in Litchfield, Illinois

Provider Information

NPI Number
1407288830
Entity Type
Individual
Name
Kellen Bosma, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Aug 8, 2013
Last Updated
Aug 8, 2013

Practice Location

Address
125 W COLUMBIAN BLVD S
ZIP Code
62056-3021
Phone
(217) 324-2610

Specialties & Taxonomy Codes

Specialty
Dentist

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