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
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 PracticeGeneral Practice

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