DR. Raison Sujai Bose, DDS

NPI #1780815928 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1780815928
Entity Type: Individual
Name: DR. Raison Sujai Bose, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: DDS
Enumeration Date: Aug 6, 2009
Last Updated: Apr 18, 2012

Practice Location

Address: 2600 N MAYFAIR RD
Address 2: SUITE 240
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-1309
Phone: (414) 258-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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