Brian D Boston, Dmd, S.c
NPI #1518367598 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1518367598
- Entity Type
- Organization
- Organization Name
- Brian D Boston, Dmd, S.c
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
Practice Location
- Address
- 2860 S GREEN BAY RD
- Address 2
- SUITE 104
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4962
- Phone
- (262) 886-9700
Authorized Official
- Name
- MRS. KIM VAN CAMP
- Title
- PROVIDER RELATIONS SPECIALIST
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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