Lisa M. Bosch, Dmd, LLC

NPI #1780373936 in Edina, Missouri

Provider Information

NPI Number
1780373936
Entity Type
Organization
Organization Name
Lisa M. Bosch, Dmd, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 3, 2023
Last Updated
May 3, 2023

Practice Location

Address
107 N MAIN ST
City
Edina
ZIP Code
63537-1426
Phone
(660) 397-2213

Authorized Official

Name
DR. LISA MICHELLE BOSCH, DMD
Title
OWNER/DENTIST
Phone
(660) 397-2213

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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