DR. Brian Daniel Boston, DMD

NPI #1427343359 in Logan, Utah

Provider Information

NPI Number: 1427343359
Entity Type: Individual
Name: DR. Brian Daniel Boston, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 20, 2011
Last Updated: Jun 20, 2011

Practice Location

Address: 1320 N 600 E STE 1
City: Logan
State: Utah
ZIP Code: 84341-2474
Phone: (435) 752-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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