Boston Dental of Wi LLC

NPI #1730694225 in Sheboygan, Wisconsin

Provider Information

NPI Number
1730694225
Entity Type
Organization
Organization Name
Boston Dental of Wi LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 6, 2017
Last Updated
Dec 6, 2017

Practice Location

Address
3064 S BUSINESS DR
ZIP Code
53081-6522
Phone
(920) 892-6961

Authorized Official

Name
BRIAN BOSTON
Title
OWNER
Phone
(920) 892-6961

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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