Kelly Bosworth, Dds, INC
NPI #1518125160 in Excelsior, Minnesota
Provider Information
- NPI Number
- 1518125160
- Entity Type
- Organization
- Organization Name
- Kelly Bosworth, Dds, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 30, 2008
- Last Updated
- May 30, 2008
Practice Location
Authorized Official
- Name
- KERIANN GERMAN
- Title
- FINANCIAL COORDINATOR
- Phone
- (952) 474-4123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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